Individual provider Active NPI

Sonia Thomas Abraham, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Denville, NJ
National Provider Identifier
1457332306
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DI02244900 Issued in NJ
Practice address
3155 State Route 10
Suite 111
Denville, NJ 07834-3492
Phone
(973) 328-4434
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DI02244900 NJ Primary

Addresses

Primary practice location

3155 State Route 10
Suite 111
Denville, NJ 07834-3492

Mailing address

3155 State Route 10
Suite 111
Denville, NJ 07834-3492
Phone (973) 328-4434

Other practice location 1

44 Route 23 North, Ste 10
Riverdale, NJ 07457
Phone (973) 831-6661

Other identifiers 3

IdentifierTypeStateIssuer
0047791MedicaidNJ
9177565MedicaidNJ
60015441OtherNJHORIZON MANAGED CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI02244900NJMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1457332306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 STATE ROUTE 10",
            "address_2": "SUITE 111",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343492",
            "telephone_number": "973-328-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 STATE ROUTE 10",
            "address_2": "SUITE 111",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343492",
            "telephone_number": "973-328-4434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Route 23 North, Ste 10",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "NJ",
            "postal_code": "07457",
            "country_code": "US",
            "telephone_number": "973-831-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS ABRAHAM",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI02244900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047791",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177565",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MANAGED CARE",
            "identifier": "60015441",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.