Active NPI
Sofia S Mobile Primary Care LLC
- Family Nurse Practitioner
- Highland Park, NJ
National Provider Identifier
1962386300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SOFIA S MOBILE PRIMARY CARE LLC
- Practice address
- 18 N 2ND Ave
Highland Park, NJ 08904-2419 - Phone
- (908) 331-2518
- NPI assigned
- Jul 31, 2025
- Last updated
- Jul 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sofia Sheck Eyakem
- Title
- Owner
- Phone
- (908) 331-2518
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
18 N 2ND Ave
Highland Park, NJ 08904-2419
Mailing address
18 N 2ND Ave
Highland Park, NJ 08904-2419
Phone (908) 331-2518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Highland Park, NJ
- NPI 1487224226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753920000000",
"number": "1962386300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 N 2ND AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042419",
"telephone_number": "908-331-2518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 N 2ND AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042419",
"telephone_number": "908-331-2518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOFIA S MOBILE PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-31",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A",
"authorized_official_last_name": "SHECK EYAKEM",
"authorized_official_first_name": "SOFIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-331-2518"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.