Active NPI
Sofia Margarita Juan
- Registered Nurse
- Bronx, NY
National Provider Identifier
1760229595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 589922
- Practice address
- 5500 Broadway Ste a
Bronx, NY 10463-5238 - Phone
- (718) 548-7900
- NPI assigned
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 589922 | NY | Primary |
Addresses
Primary practice location
5500 Broadway Ste a
Bronx, NY 10463-5238
Mailing address
607 Gorge Rd Apt 3
Cliffside Park, NJ 07010-2333
Phone (201) 494-0896
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
| License | State | Type | Specialty |
|---|---|---|---|
| 589922 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1760229595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 GORGE RD APT 3",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070102333",
"telephone_number": "201-494-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BROADWAY STE A",
"city": "BRONX",
"state": "NY",
"postal_code": "104635238",
"telephone_number": "718-548-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAN",
"first_name": "SOFIA",
"middle_name": "MARGARITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "589922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.