Soon Ran NA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2709370 Issued in NY

Practice address

11 Jean CT
Old Tappan, NJ 07675-6866

Phone

(201) 450-7991

NPI assigned

May 7, 2024

Last updated

May 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1427806306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JEAN CT",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076756866",
            "telephone_number": "201-450-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JEAN CT",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076756866",
            "telephone_number": "201-450-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NA",
        "first_name": "SOON RAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "2709370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Mattia, D.D.S.
• MC Schettino MD
• MF Consulting , Inc .
• Kristen E Miceli, SLP
• Lisania Iris Milli, PHD, WHNP-BC
• Matthew Nalbandian, M.D.
• Melissa E Nelson, ATC
• New Beginnings Psychotherapy
• New Concepts for Living
• New Concepts for Living

• Registered Nurse in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.