Individual provider Active NPI

Sara M Sochaczewsky, APN

  • Family Nurse Practitioner
  • Neptune,, NJ
National Provider Identifier
1679124127
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00922200 Issued in NJ
Practice address
1945 Route 33
Neptune,, NJ 07753
Phone
(732) 776-3170
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00922200 NJ Primary

Addresses

Primary practice location

1945 Route 33
Neptune,, NJ 07753

Mailing address

3 Rockbridge Rd
Lakewood, NJ 08701-4975
Phone (718) 928-8559

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
I20191119002860 NJ Practitioner - Nurse Practitioner 1658703285 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Oct 22, 2019 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince May 1, 2022 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince May 1, 2022 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

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

1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Interoperability endpoints

  • Direct secure messaging: ssochaczewsky76834@direct.optum.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1679124127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROCKBRIDGE RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014975",
            "telephone_number": "718-928-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "city": "NEPTUNE,",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-776-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCHACZEWSKY",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00922200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune,, NJ

Sources for this page

Verify at the official NPI Registry.