Individual provider Active NPI

Sofia Eyakem, DNP, FNP

  • Nurse Practitioner
  • Highland Park, NJ
National Provider Identifier
1487224226
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01172700 Issued in NJ
Practice address
317 Cleveland Ave
Highland Park, NJ 08904-1817
Phone
(732) 249-9800
NPI assigned
Jun 24, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01172700 NJ Primary

Addresses

Primary practice location

317 Cleveland Ave
Highland Park, NJ 08904-1817

Mailing address

18 N 2ND Ave
Highland Park, NJ 08904-2419

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://static.practicefusion.com/apps/ehr/index.html# Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210818004173 NJ Practitioner - Nurse Practitioner 3375948011 Reassigns benefits to 6 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
RPM Care Coordination, PAGroup PAC ID 7810381647, 6 clinicians
Wound Practitioners on WheelsGroup PAC ID 3375976368, 2 clinicians

Practice addresses (Care Compare)

Warren, NJ 07059
Phone (800) 985-5596

Iselin, NJ 08830
Phone (732) 800-7494

18 N 2ND Ave
Highland Park, NJ 08904-2419
Phone (908) 331-2518

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01172700NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Wellness Center PC CurrentSince Oct 30, 2025 Accepting new patients
Schick Chiropractic Center, LLC CurrentSince Aug 1, 2021 Accepting new patients
Regional Healthcare Group LLC CurrentSince Sep 13, 2025 Accepting new patients
Sofia S Mobile Primary Care LLC CurrentSince Aug 1, 2025 Accepting new patients
RPM Care Coordination, P.a. CurrentSince Sep 1, 2025 Accepting new patients

Locations

507 S Douglas St
Fl 3
El Segundo, CA 90245

317 Cleveland Ave
Highland Park, NJ 08904
Phone (732) 249-9800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1487224226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N 2ND AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041817",
            "telephone_number": "732-249-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYAKEM",
        "first_name": "SOFIA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01172700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://static.practicefusion.com/apps/ehr/index.html#",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "317 Cleveland Ave",
            "city": "Highland Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "089041817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.