Individual provider Active NPI

Soniya Herapara, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1215443791
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00789100 Issued in NJ
Practice address
55 W Passaic Ave
Bloomfield, NJ 07003-4502
Phone
(973) 338-8059
NPI assigned
Dec 20, 2017
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00789100 NJ Primary

Addresses

Primary practice location

55 W Passaic Ave
Bloomfield, NJ 07003-4502

Mailing address

409 E 54TH St
Elmwood Park, NJ 07407-2719
Phone (551) 444-8197

Other practice location 1

550 Summit Ave
Jersey City, NJ 07306
Phone (201) 209-1802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314001875 NJ Practitioner - Nurse Practitioner 3173863933 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Health Care Associates LLC Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Yogi Medical Care Inc Multi-Specialty CurrentSince Nov 28, 2018 Accepting new patients

Locations

550 Summit Ave
Bsmt
Jersey City, NJ 07306
Phone (201) 209-1802

550 Summit Ave
Ste B1
Jersey City, NJ 07306
Phone (201) 209-1802

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

33 Overlook Rd
Ste 304
Summit, NJ 07901
Phone (732) 381-3740

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1215443791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E 54TH ST",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072719",
            "telephone_number": "551-444-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W PASSAIC AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034502",
            "telephone_number": "973-338-8059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "07306",
            "country_code": "US",
            "telephone_number": "201-209-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERAPARA",
        "first_name": "SONIYA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00789100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.