Soniya Herapara, NURSE PRACTITIONER - Medicare Nurse Practitioner in Bloomfield, NJ

Soniya Herapara, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Primary Care" in Bloomfield, New Jersey. Her current practice location is 55 W Passaic Ave, Bloomfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 338-8059.

Soniya Herapara is licensed to practice in New Jersey (license number 26NJ00789100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215443791.

Contact Information

Soniya Herapara, NURSE PRACTITIONER
55 W Passaic Ave,
Bloomfield, NJ 07003-4502
(973) 338-8059
Not Available

Map and Direction




Provider's Profile

Full NameSoniya Herapara
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location55 W Passaic Ave, Bloomfield, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215443791
  • Provider Enumeration Date: 12/20/2017
  • Last Update Date: 08/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173863933
  • Enrollment ID: I20190314001875

Medical Identifiers

Medical identifiers for Soniya Herapara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215443791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 26NJ00789100 (New Jersey)Primary

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. Soniya Herapara allows following entities to bill medicare on her behalf.
Entity NameUnion County Health Care Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033271291
PECOS PAC ID: 2163450958
Enrollment ID: O20050802001062
Entity NameYogi Medical Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467738633
PECOS PAC ID: 7315282860
Enrollment ID: O20190102003043

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. Soniya Herapara 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 AddressPractice Location Address
Soniya Herapara, NURSE PRACTITIONER
409 E 54th St,
Elmwood Park, NJ 07407-2719

Ph: (551) 444-8197
Soniya Herapara, NURSE PRACTITIONER
55 W Passaic Ave,
Bloomfield, NJ 07003-4502

Ph: (973) 338-8059

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.