Dr Sophia Reid, MD is a medicare enrolled "Dermatology" physician in Park Ridge, New Jersey. She went to Georgetown University School Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Jen John Inc and her current practice location is
70 Park Ave Unit 3, Park Ridge, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 582-8015.
Dr Sophia Reid is licensed to practice in California (license number 133412) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265877161.
Physician's Profile
| Full Name | Dr Sophia Reid |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 70 Park Ave Unit 3, Park Ridge, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Sophia Reid attended and graduated from Georgetown University School Of Medicine in 2013
NPI Data:
- NPI Number: 1265877161
- Provider Enumeration Date: 05/06/2013
- Last Update Date: 07/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 2062788623
- Enrollment ID: I20180801000138
Medical Identifiers
Medical identifiers for Dr Sophia Reid such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265877161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083B0002X | Preventive Medicine - Obesity Medicine | 25MA10152800 (New Jersey) | Secondary |
| 207N00000X | Dermatology | D0085560 (Maryland) | Secondary |
| 207N00000X | Dermatology | 291811 (New York) | Secondary |
| 207N00000X | Dermatology | 133412 (California) | Primary |
| 207N00000X | Dermatology | 25MA10152800 (New Jersey) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jen John Inc | 3870518434 | 2 |
| | |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sophia Reid allows following entities to bill medicare on her behalf.
| Entity Name | Jen John Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114039377
PECOS PAC ID: 3870518434
Enrollment ID: O20051012000802 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sophia Reid is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sophia Reid, MD
70 Park Ave Ste 3,
Park Ridge, NJ 07656-1282
Ph: (201) 582-8015 | Dr Sophia Reid, MD
70 Park Ave Unit 3,
Park Ridge, NJ 07656-1239
Ph: (201) 582-8015 |
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