Individual provider Active NPI

Stephanie Lynn Soos, FNP-C

  • Family Nurse Practitioner
  • South Amboy, NJ
National Provider Identifier
1265220388
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15310600 Issued in NJ
Practice address
155 Bertram Ave
South Amboy, NJ 08879-1421
Phone
(732) 491-3117
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15310600 NJ Primary

Addresses

Primary practice location

155 Bertram Ave
South Amboy, NJ 08879-1421

Mailing address

155 Bertram Ave
South Amboy, NJ 08879-1421
Phone (732) 491-3117

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
I20251204001676 NJ Practitioner - Nurse Practitioner 3173016425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

155 Bertram Ave
South Amboy, NJ 08879-1421

3626 Route 1 N
Princeton, NJ 08540-5922

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15310600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred NJ P.C. CurrentSince Sep 22, 2025 Accepting new patients

Locations

277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1265220388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BERTRAM AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791421",
            "telephone_number": "732-491-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BERTRAM AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791421",
            "telephone_number": "732-491-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOS",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15310600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

Verify at the official NPI Registry.