Active NPI
Kristen Batson Socha, PA-C
- Medical Physician Assistant
- Paramus, NJ
National Provider Identifier
1962563619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MP00124400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MP00124400 | NJ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breslow Center for Plastic Surgery | Current | Accepting new patients | |
| Bergen Women's Health and Wellness, LLC | Current | 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
- 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.
-
- Gynecology Physician
- Saddle River, NJ
- NPI 1467982827
-
- Plastic and Reconstructive Surgery Physician
- Paramus, NJ
- NPI 1689896664
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Morristown, NJ
- NPI 1114888179
-
- Hospitalist Physician
- Red Bank, NJ
- NPI 1578092391
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.