Healthcare Provider Details

I. General information

NPI: 1508529355
Provider Name (Legal Business Name): SONIA THOHAN RN, APN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONIA PATEL FNP-BC

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 POMPTON AVE
CEDAR GROVE NJ
07009-1801
US

IV. Provider business mailing address

387 POMPTON AVE
CEDAR GROVE NJ
07009-1801
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01398300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: