Provider Demographics
NPI:1508529355
Name:PATEL, SONIA (RN, APN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:RN, APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BERGEN TOWN CTR
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5016
Mailing Address - Country:US
Mailing Address - Phone:201-226-0105
Mailing Address - Fax:
Practice Address - Street 1:1000 BERGEN TOWN CTR
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5016
Practice Address - Country:US
Practice Address - Phone:201-226-0105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY751083163W00000X
NJ26NJ01398300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse