Sofia Valle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

254 Easton Ave
New Brunswick, NJ 08901-1766

Phone

(732) 745-8525

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Medical of Watchung LLCGroup PAC ID 8628312501, 22 clinicians

Performance Medical Group of Branchburg LLCGroup PAC ID 9234486945, 22 clinicians

Performance Medical Group of Hillsborough LLCGroup PAC ID 5597298596, 10 clinicians

Performance Medical Group of SomersetGroup PAC ID 0941612360, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Performance Medical Group of Branchburg LLC

  dba Performance Rehabilitation & Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Branchburg, NJ
  • NPI 1679075642
  Medicare reassignment Care Compare group NPD
• Performance Medical Group of Hillsborough LLC

  • Pain Medicine (Anesthesiology) Physician
  • Hillsborough, NJ
  • NPI 1487483095
  Medicare reassignment Care Compare group
• Performance Medical Group of Somerset

  dba Performance Rehabilitation & Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
  • NPI 1780287326
  Medicare reassignment Care Compare group
• Performance Medical of Watchung LLC

  • Physical Medicine & Rehabilitation Physician
  • Watchung, NJ
  • NPI 1518477918
  Medicare reassignment Care Compare group
• Southern Bank Emergency Physicians LLC

  • Emergency Medicine Physician
  • New Brunswick, NJ
  • NPI 1629205844
  Medicare reassignment

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275268468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 3RD AVE FL 1",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "SOFIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tudor D Vagaonescu, MD
• Niti Vaidya, RN, BSN
• Aadhithyaraman Vaithiya Santharaman
• Adrienne Gail Valdez, APN
• Jennifer L Valdez, MA, CCC-SLP
• Kaitlin Rose Van Benthuysen, LCSW
• Catherine Van Doren, RD CDE
• Anne Marie Van Hoven, MD
• Matthew Thomas Vandeventer, APN, CRNA
• Emily Vankouwenberg, M.D.

• Physician Assistant in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.