Individual provider Active NPI

Olympia Margaret Sophias, D.O.

  • Family Medicine Physician
  • Rockaway, NJ
National Provider Identifier
1174961403
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09772100 Issued in NJ
Practice address
333 Mount Hope Ave Ste 120
Rockaway, NJ 07866-1645
Phone
(973) 895-6601
Fax
(973) 895-5324
NPI assigned
Jun 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09772100 NJ Primary

Addresses

Primary practice location

333 Mount Hope Ave Ste 120
Rockaway, NJ 07866-1645

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other names 1

  • Dr. Olympia Margaret Potaris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011000224 NJ Practitioner - Family Practice 7214225069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

333 Mount Hope Ave
Rockaway, NJ 07866-1645
Phone (973) 895-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Family Medicine CurrentSince Sep 6, 2016 Accepting new patients
Prime Healthcare Services - Saint Clare'S LLC Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

333 Mount Hope Ave
Ste 120
Rockaway, NJ 07866
Phone (973) 895-6601

333 Mount Hope Ave
Rockaway, NJ 07866
Phone (973) 895-6601

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1174961403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MOUNT HOPE AVE STE 120",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661645",
            "telephone_number": "973-895-6601",
            "fax_number": "973-895-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPHIAS",
        "first_name": "OLYMPIA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-09",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09772100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLYMPIA",
            "last_name": "POTARIS",
            "middle_name": "MARGARET",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.