NPIMap

Individual provider Active NPI

Sonia C Simoes, MD

  • Nephrology Physician
  • Newark, NJ
National Provider Identifier
1346406600
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA08341200 Issued in NJ
Practice address
390 New York Ave
Newark, NJ 07105-3125
Phone
(973) 755-1585
Fax
(201) 839-3312
NPI assigned
Aug 5, 2008
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08341200 NJ
Internal Medicine Physician 207R00000X 0101245915 VA
Nephrology Physician 207RN0300X 25MA08341200 NJ Primary

Addresses

Primary practice location

390 New York Ave
Newark, NJ 07105-3125

Mailing address

390 New York Ave
Newark, NJ 07105-3125
Phone (973) 755-1585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000125 NJ Practitioner - NephrologyPractitioner - Internal Medicine 8820122765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Renal and Hypertension Consultants, LLCGroup PAC ID 0941489132, 2 clinicians

Practice addresses (Care Compare)

390 New York Ave
Newark, NJ 07105-3125
Phone (973) 755-1585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.94 of 100Reported as individual
Quality
95
Promoting interoperability
100
Improvement activities
40
Cost
66.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Medical Center, LLC Internal Medicine CurrentSince Oct 15, 2016 Accepting new patients

Locations

390 New York Ave
Newark, NJ 07105
Phone (973) 344-3512

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFABBA/Endpoint/CFABBA
  • Direct secure messaging: ssimoes191515@ahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1346406600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NEW YORK AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053125",
            "telephone_number": "973-755-1585",
            "fax_number": "201-839-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NEW YORK AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053125",
            "telephone_number": "973-755-1585",
            "fax_number": "201-839-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMOES",
        "first_name": "SONIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08341200",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101245915",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08341200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.