Individual provider Active NPI

Sonji Louise Brooks

  • Home Health Registered Nurse
  • Voorhees, NJ
National Provider Identifier
1730854381
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
08240501 Issued in PA
Practice address
175 White Horse Rd W Ste B
Voorhees, NJ 08043-3673
Phone
(800) 282-2208
Fax
(856) 291-5079
NPI assigned
Aug 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 08240501 PA Primary

Addresses

Primary practice location

175 White Horse Rd W Ste B
Voorhees, NJ 08043-3673

Mailing address

701 Cooper Rd Ste 11
Voorhees, NJ 08043-3800
Phone (800) 282-2208

Other practice location 1

1242 Point Breeze Ave Fl 1
Philadelphia, PA 19146-4362
Phone (800) 282-2208

Other identifiers 2

IdentifierTypeStateIssuer
815455655MedicaidNJ
815455655MedicaidPA

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
08240501PAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Alternative Agency Incorporated CurrentSince Aug 28, 2021 Accepting new patients

Locations

701 Cooper Rd
Ste 11
Voorhees, NJ 08043

175 White Horse Rd W
Ste B
Voorhees, NJ 08043
Phone (800) 282-2208

Organizations & group practices 1

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": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1730854381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COOPER RD STE 11",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433800",
            "telephone_number": "800-282-2208",
            "fax_number": "856-291-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WHITE HORSE RD W STE B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433673",
            "telephone_number": "800-282-2208",
            "fax_number": "856-291-5079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1242 Point Breeze Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191464362",
            "country_code": "US",
            "telephone_number": "800-282-2208",
            "fax_number": "856-292-5079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SONJI",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "08240501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "815455655",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "815455655",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.