Individual provider Active NPI

Sofia Sherman-Weber, D.O.

  • Infectious Disease Physician
  • Mount Laurel, NJ
National Provider Identifier
1487681714
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MB09811600 Issued in NJ
Practice address
1001 Briggs Rd Ste 250
Mount Laurel, NJ 08054-4111
Phone
(856) 866-7466
Fax
(856) 866-9088
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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 OS-012882 PA
Infectious Disease Physician 207RI0200X OS012882 PA
Infectious Disease Physician 207RI0200X 25MB09811600 NJ Primary

Addresses

Primary practice location

1001 Briggs Rd Ste 250
Mount Laurel, NJ 08054-4111

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

200 Bowman Dr Ste E335
Voorhees, NJ 08043-9640
Phone (856) 247-7545

Other identifiers 1

IdentifierTypeStateIssuer
078725MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sshermanweber14264@directvirtua.org
Direct Messaging Address sshermanweber14264@directvirtua.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206002353 NJ Practitioner - Infectious Disease 9931184660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Rowan University School of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

200 Bowman Dr
Suite E325
Voorhees, NJ 08043-9652
Phone (856) 247-7420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-012882PAMDInternal Medicine Physician
25MB09811600NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Oct 3, 2016 Accepting new patients
Virtua Medical Group, PA Internal Medicine CurrentSince Oct 3, 2016 Accepting new patients
University of Penn-Medical Group Infectious Disease Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Philadelphia Fight Internal Medicine Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

1001 Briggs Rd
Ste 250
Mount Laurel, NJ 08054
Phone (856) 866-7466

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

200 Bowman Dr
Ste E335
Voorhees, NJ 08043
Phone (856) 247-7545

200 Bowman Dr
Ste E325
Voorhees, NJ 08043
Phone (856) 247-7420

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.

Hospital & facility affiliations 3

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1487681714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD STE 250",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544111",
            "telephone_number": "856-866-7466",
            "fax_number": "856-866-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Bowman Dr Ste E335",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439640",
            "country_code": "US",
            "telephone_number": "856-247-7545",
            "fax_number": "856-866-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN-WEBER",
        "first_name": "SOFIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-012882",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "OS012882",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MB09811600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078725",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshermanweber14264@directvirtua.org",
            "affiliation": "N",
            "address_1": "1001 Briggs Rd Ste 250",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080544111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshermanweber14264@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste E335",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.