Individual provider Active NPI

Soniya Sheth, CRNP

  • Pediatric Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1679985485
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00732800 Issued in NJ
Practice address
526 Lippincott Dr
Marlton, NJ 08053-4805
Phone
(856) 985-3700
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP013847 PA
Pediatric Nurse Practitioner 363LP0200X 26NJ00732800 NJ Primary

Addresses

Primary practice location

526 Lippincott Dr
Marlton, NJ 08053-4805

Mailing address

14 Madeira CT
Moorestown, NJ 08057-3144
Phone (609) 792-6384

Other practice location 1

866 W Bristol Rd
Warminster, PA 18974-2170
Phone (215) 293-6020

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
26NJ00732800NJMDPediatric Nurse Practitioner
SP013847PAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1679985485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MADEIRA CT",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573144",
            "telephone_number": "609-792-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534805",
            "telephone_number": "856-985-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "866 W Bristol Rd",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189742170",
            "country_code": "US",
            "telephone_number": "215-293-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETH",
        "first_name": "SONIYA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP013847",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00732800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.