MEDICARE: MRS. SONIA THOHAN RN, APN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	751083	NY
2	363LF0000X	Family Nurse Practitioner	353104	NY
3	363LF0000X	Family Nurse Practitioner	26NJ01398300	NJ

General Provider Information

NPI Number	:	1508529355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONIA THOHAN RN, APN, FNP-BC

Provider Business Mailing Address
First Line	:	120 SCHINDLER CT APT 256
Second Line	:
City	:	EAST RUTHERFORD
State	:	NJ
Zip	:	07073-2208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 NORMAL AVE
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07043-1624
Country	:	US
Telephone Number	:	973-655-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2021
Last Update Date	:	12/02/2025

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