Individual provider Active NPI

Sophia Reid, M.D.

  • Dermatology Physician
  • Park Ridge, NJ
National Provider Identifier
1265877161
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
133412 Issued in CA
Practice address
70 Park Ave Unit 3
Park Ridge, NJ 07656-1239
Phone
(201) 582-8015
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 25MA10152800 NJ
Dermatology Physician 207N00000X D0085560 MD
Dermatology Physician 207N00000X 291811 NY
Dermatology Physician 207N00000X 133412 CA Primary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 25MA10152800 NJ

Addresses

Primary practice location

70 Park Ave Unit 3
Park Ridge, NJ 07656-1239

Mailing address

70 Park Ave Ste 3
Park Ridge, NJ 07656-1282
Phone (201) 582-8015

Other practice location 1

68 Thomas Johnson Dr Ste C
Frederick, MD 21702-4901
Phone (301) 694-5292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171026000180 NJ Practitioner - Dermatology 2062788623 Reassigns benefits to 2 organizations
I20180413001135 NY Practitioner - Dermatology 2062788623 Reassigns benefits to 1 organization
I20180801000138 MD Practitioner - Dermatology 2062788623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jen John IncGroup PAC ID 3870518434, 2 clinicians

Practice addresses (Care Compare)

68 Thomas Johnson Dr C
Frederick, MD 21702-4501
Phone (301) 694-5292

70 Park Ave
Suite 3
Park Ridge, NJ 07656-1239
Phone (201) 582-8015

Merit-based Incentive Payment System (MIPS)

Final score
95.7 of 100Reported as group
Quality
92.18
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions189
Skin biopsy109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0085560MDMDDermatology Physician
25MA10152800NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jen-John Inc Single Specialty CurrentSince Jun 1, 2018 Accepting new patients
Skin Secrets Wellness PC Single Specialty CurrentSince Sep 16, 2024 Accepting new patients
Trokhan Dermatology, LLC Single Specialty CurrentSince Aug 15, 2017 Accepting new patients
Dr Stuart R Levine Dermatology and Dermatologic Surgery PC Single Specialty CurrentSince Feb 21, 2018 Accepting new patients

Locations

68 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 594-5292

235 Closter Dock Rd
Closter, NJ 07624
Phone (201) 767-1908

70 Park Ave
Ste 3
Park Ridge, NJ 07656
Phone (201) 582-8015

1717 86th St
Brooklyn, NY 11214
Phone (718) 331-3122

Organizations & group practices 4

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1265877161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PARK AVE STE 3",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561282",
            "telephone_number": "201-582-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PARK AVE UNIT 3",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561239",
            "telephone_number": "201-582-8015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Thomas Johnson Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024901",
            "country_code": "US",
            "telephone_number": "301-694-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "25MA10152800",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0085560",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "291811",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "133412",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA10152800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, NJ

Sources for this page

Verify at the official NPI Registry.