Individual provider Active NPI

Sofya Shapiro, PA-C

  • Physician Assistant
  • Mount Laurel, NJ
National Provider Identifier
1649450768
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00184600 Issued in NJ
Practice address
3829 Church Rd Ste B
Mount Laurel, NJ 08054-1105
Phone
(856) 536-1515
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00184600 NJ Primary

Addresses

Primary practice location

3829 Church Rd Ste B
Mount Laurel, NJ 08054-1105

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

3175 Rt 10 East
Denville, NJ 07834
Phone (973) 891-1213

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
I20080512000375 NJ Practitioner - Physician Assistant 5496834749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Care Alliance, PCGroup PAC ID 5890110563, 118 clinicians

Practice addresses (Care Compare)

165 S Black Horse Pike
Runnemede, NJ 08078-1906
Phone (856) 939-1658

3403 S Delsea Dr
Vineland, NJ 08360-7449
Phone (856) 293-6974

3829 Church Rd
Mount Laurel, NJ 08054-1105
Phone (856) 536-1515

901 Route 168
Suite 210
Turnersville, NJ 08012-3203
Phone (856) 536-1515

935 River Rd
Suite 301
Edgewater, NJ 07020-2233
Phone (201) 471-7012

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00184600NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Dec 1, 2018 Accepting new patients
Cooper Care Alliance, PC CurrentSince Oct 30, 2025 Accepting new patients
Jersey Emergency Medical Associates LLC Past Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
Family Physicians at Burlington Past Accepting new patients

Locations

1816 Route 541
Ste 102
Burlington, NJ 08016
Phone (609) 747-0870

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

3829 Church Rd
#B
Mount Laurel, NJ 08054
Phone (856) 234-1200

38 Meadowlands Pkwy
Ste 205
Secaucus, NJ 07094
Phone (201) 552-2357

901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • Direct secure messaging: sshapiro321194@direct.cooperhealth.edu
  • Direct secure messaging: sofya.shapiro.1@20099.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1649450768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 CHURCH RD STE B",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541105",
            "telephone_number": "856-536-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3175 Rt 10 East",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "07834",
            "country_code": "US",
            "telephone_number": "973-891-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "SOFYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00184600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.