Individual provider Active NPI

Kristen Batson Socha, PA-C

  • Medical Physician Assistant
  • Paramus, NJ
National Provider Identifier
1962563619
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MP00124400 Issued in NJ
Practice address
1 W Ridgewood Ave Ste 110
Paramus, NJ 07652-2361
Phone
(201) 258-7603
Fax
(201) 444-9277
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MP00124400 NJ Primary

Addresses

Primary practice location

1 W Ridgewood Ave Ste 110
Paramus, NJ 07652-2361

Mailing address

52 Round Hill Rd
Kinnelon, NJ 07405-3219
Phone (732) 266-8123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MP00124400NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Breslow Center for Plastic Surgery CurrentSince Nov 6, 2022 Accepting new patients
Bergen Women's Health and Wellness, LLC CurrentSince Nov 6, 2022 Accepting new patients
New Jersey Post Acute Medical Services 1 PA Past Accepting new patients
Center for Vein Restoration NJ LLC Past Accepting new patients

Locations

1 W Ridgewood Ave
Ste 110
Paramus, NJ 07652
Phone (201) 444-0050

Interoperability endpoints

  • Direct secure messaging: kristensocha@jacmdllc.allscriptsdirect.net

Organizations & group practices 4

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1962563619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ROUND HILL RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074053219",
            "telephone_number": "732-266-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE STE 110",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522361",
            "telephone_number": "201-258-7603",
            "fax_number": "201-444-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCHA",
        "first_name": "KRISTEN",
        "middle_name": "BATSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "MP00124400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.