Active NPI
Sonia Jimenez Soria, APN
- Nurse Practitioner
- Orange, NJ
National Provider Identifier
1770979593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00548700
- Practice address
- 258 Central Ave
Orange, NJ 07050-3414 - Phone
- (973) 677-1144
- Fax
- (973) 677-9145
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00548700 | NJ | Primary |
Addresses
Primary practice location
258 Central Ave
Orange, NJ 07050-3414
Mailing address
375 Mount Pleasant Ave
Suite 250
West Orange, NJ 07052-2750
Phone (973) 323-1320
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00548700 | NJ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1770979593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 MOUNT PLEASANT AVE",
"address_2": "SUITE 250",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522750",
"telephone_number": "973-323-1320",
"fax_number": "973-323-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 CENTRAL AVE",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070503414",
"telephone_number": "973-677-1144",
"fax_number": "973-677-9145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIA",
"first_name": "SONIA",
"middle_name": "JIMENEZ",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00548700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.