Active NPI
Sofia Anna Skulsky, AGPCNP-BC
- Primary Care Nurse Practitioner
- Parsippany, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ00911000
- Practice address
- 900 Lanidex PLZ
Parsippany, NJ 07054-2707 - Phone
- (862) 683-6741
- Fax
- (800) 442-3873
- NPI assigned
- Mar 19, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00911000 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00911000 | NJ | Primary |
Addresses
Primary practice location
900 Lanidex PLZ
Parsippany, NJ 07054-2707
Mailing address
91 N Shore Rd
Denville, NJ 07834-1142
Phone (973) 715-1294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14 -20 Prospect St
East Orange, NJ 07017-2238
Phone (973) 672-2025
152 Campmeeting Rd
Bolton, CT 06043-7528
1635 Mineral Spring Ave
North Providence, RI 02904-4025
Phone (401) 354-5340
322 Washington St
Davita Brookline Dialysis
Brookline, MA 02445-6850
Phone (617) 734-7994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagehealth DM LLC | Current | Accepting new patients |
Locations
322 Washington St
Brookline, MA 02445
Phone (617) 734-7292
14-20 Prospect St
East Orange, NJ 07017
Phone (720) 631-1142
1635 Mineral Spring Ave
North Providence, RI 02904
Phone (401) 349-4269
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Montville, NJ
- NPI 1841347523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1912466939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 N SHORE RD",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078341142",
"telephone_number": "973-715-1294",
"fax_number": "800-442-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 LANIDEX PLZ",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070542707",
"telephone_number": "862-683-6741",
"fax_number": "800-442-3873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKULSKY",
"first_name": "SOFIA",
"middle_name": "ANNA",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00911000",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00911000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.