Sophia Rose Ursino, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86326787 Issued in NJ

Practice address

1450 Marlton Pike E
Cherry Hill, NJ 08034-2244

Phone

(856) 874-7800

NPI assigned

Jan 26, 2023

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patient Care Medical Group PCGroup PAC ID 8022413459, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Patient Care Medical Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodbury, NJ
  • NPI 1891362364
  Medicare reassignment Care Compare group NPD
• Therealisticdietitian LLC

  • Registered Dietitian
  • Mullica Hill, NJ
  • NPI 1053102426

  Dietitian, Registered

  NPD (past) Authorized official
• Cloud Health Medical Group of California, P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1194404327
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1932815651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MARLTON PIKE E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342244",
            "telephone_number": "856-874-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MARLTON PIKE E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342244",
            "telephone_number": "856-874-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSINO",
        "first_name": "SOPHIA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86326787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PCMG",
            "affiliation": "N",
            "endpointDescription": "Patient Care Medical Group",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Patient Care Medical Group",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Medical Group",
            "address_1": "107 Willow Oaks Ln",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080624535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Unity Place I
• University Imaging Center, LLC (University Imaging Center of Cherry Hill)
• University Radiology at Cooper, LLC
• Unlimited Productivity Associates (The Psychology Group)
• Unlimited Productivity Associates (the psychology group)
• US National Medical Supply LLC
• US Way Medical Transportation
• Usv Optical Inc.
• Keith Uszak, MSPT
• Marvin Uthaman, M.D.

• Registered Dietitian in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.