Active NPI
Sophia Reid, M.D.
- Dermatology Physician
- Park Ridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 133412
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Physician | 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 92.18
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 189 |
| Skin biopsy | 109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0085560 | MD | MD | Dermatology Physician |
| 25MA10152800 | NJ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jen-John Inc | Single Specialty | Current | Accepting new patients |
| Skin Secrets Wellness PC | Single Specialty | Current | Accepting new patients |
| Trokhan Dermatology, LLC | Single Specialty | Current | Accepting new patients |
| Dr Stuart R Levine Dermatology and Dermatologic Surgery PC | Single Specialty | Current | 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.
-
- Dermatology Physician
- Brooklyn, NY
- NPI 1053622464
Single Specialty
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
- Josephine P Puncar, MA, CCC-SLP
- Quest for Excellence International, LLC
- Madeleine Sophie Quinn, D.P.M.
- Megan Elizabeth Rahaman, LSW
- Christine M Ramagnano, LSW
- Residence at Park Ridge LLC
- Anthony Charles Ricci, LSW
- Ridge Pain Medicine & Anesthesiology, LLC
- Ridgemont Drugs LLC
- Riotto Family Chiropractic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.