Individual provider Active NPI

Sophia Jean, FNP

  • Family Nurse Practitioner
  • Queens Village, NY
National Provider Identifier
1306534813
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351717 Issued in NY
Practice address
9345 216TH St PH
Queens Village, NY 11428-1829
Phone
(718) 947-6063
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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 F351717 NY Primary

Addresses

Primary practice location

9345 216TH St PH
Queens Village, NY 11428-1829

Mailing address

9345 216TH St PH
Queens Village, NY 11428-1829
Phone (718) 947-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231127002743 NY Practitioner - Nurse Practitioner 4284082561 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
House Call Medical Services of New York, PLLCGroup PAC ID 2264517754, 162 clinicians

Practice addresses (Care Compare)

1371 Seabury Ave
Bronx, NY 10461-3651
Phone (718) 618-0401

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F351717NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Oct 14, 2023 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Oct 14, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 14, 2023 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Oct 14, 2023 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Oct 14, 2023 Accepting new patients

Locations

2722 White Plains Rd
Ste A
Bronx, NY 10467

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

2308 Eastchester Rd
Bronx, NY 10469

616 Castle Hill Ave
Ste A
Bronx, NY 10473

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

5667 Riverdale Ave
Bronx, NY 10471

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

2742 3rd Ave
Ste A
Bronx, NY 10455

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

1990 McGraw Ave
Ste A
Bronx, NY 10462

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1306534813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9345 216TH ST PH",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281829",
            "telephone_number": "718-947-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9345 216TH ST PH",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281829",
            "telephone_number": "718-947-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "SOPHIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.