Individual provider Active NPI

Sofiya Dupliy, RN

  • Certified Registered Nurse Anesthetist
  • Edgewater, NJ
National Provider Identifier
1861046708
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
682343-1 Issued in NY
Practice address
501 Stockton CT
Edgewater, NJ 07020-1675
Phone
(718) 974-0961
NPI assigned
Jul 29, 2019
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 682343-1 NY Primary
Critical Care Medicine Registered Nurse 163WC0200X 26NR17419000 NJ
Critical Care Medicine Registered Nurse 163WC0200X 682343-1 NY

Addresses

Primary practice location

501 Stockton CT
Edgewater, NJ 07020-1675

Mailing address

15 Independence Way
Edgewater, NJ 07020-1643
Phone (718) 974-0961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214003102 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224428818 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR17419000NJMDCritical Care Medicine Registered Nurse
682343-1NYMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ramapo Anesthesiologists, PC CurrentSince Nov 7, 2022 Accepting new patients
Ramapo Valley Anesthesia Associates, LLC PastSince Dec 26, 2021 Accepting new patients

Locations

233 Lafayette Ave
Ste 204
Suffern, NY 10901

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1861046708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 INDEPENDENCE WAY",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201643",
            "telephone_number": "718-974-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STOCKTON CT",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201675",
            "telephone_number": "718-974-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLIY",
        "first_name": "SOFIYA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "682343-1",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NJ",
            "license": "26NR17419000",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "682343-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.