Individual provider Active NPI

Edward Vincent Sofo, D.C., C.C.S.P.

  • Chiropractor
  • Martinsville, NJ
National Provider Identifier
1922014729
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC3749 Issued in NJ
Practice address
1931 Washington Valley Road
Martinsville, NJ 08836
Phone
(732) 271-1000
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X MC3749 NJ
Chiropractor 111N00000X MC3749 NJ Primary

Addresses

Primary practice location

1931 Washington Valley Road
Martinsville, NJ 08836

Mailing address

601 Ewing St
Ste C3
Princeton, NJ 08540-2756
Phone (908) 604-2042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000852 NJ Practitioner - ChiropracticPractitioner - Sports Medicine 2365400074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
New York Chiropractic College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Ewing St
Suite C3
Princeton, NJ 08540-2756
Phone (609) 921-1705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC3749NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Chiropractic and Sports Rehab, LLC Sports Physician CurrentSince Jan 1, 2016 Accepting new patients
Costa Chiropractic Center, P.C. Past Accepting new patients
Center for Primary Care Medicine LLC Past Accepting new patients

Locations

601 Ewing St
Ste C3
Princeton, NJ 08540
Phone (609) 436-5900

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1922014729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "STE C3",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402756",
            "telephone_number": "908-604-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 WASHINGTON VALLEY ROAD",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "08836",
            "telephone_number": "732-271-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFO",
        "first_name": "EDWARD",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "MC3749",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC3749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, NJ

Sources for this page

Verify at the official NPI Registry.