Provider Type Icon

DR. AVIVA BRACHA SOPHER M.D. M.S. NPI 1083872360


NPI Information

NPI: 1083872360
Provider Name: DR. AVIVA BRACHA SOPHER, M.D., M.S.
Classification: Pediatrics - 2080P0205X
Entity Type: Individual

Specialization: Pediatric Endocrinology

PECOS Registration: Yes

Address:
622 W 168TH ST
PH 5E - 522
NEW YORK, NY
ZIP 10032
Phone: (212) 305-6559
Get Directions

DR. Aviva Bracha Sopher, M.D., M.S. is a pediatric endocrinology pediatrics in New York, NY with 29 years of experience. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. DR. Aviva Bracha Sopher, M.D., M.S. NPI is 1083872360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

622 W 168TH ST
PH 5E - 522
NEW YORK, NY
ZIP 10032-720
Phone: (212) 305-6559
Fax: (212) 305-4778

The NPI 1083872360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 12/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMA67066NEW JERSEYNo
2208000000XPediatrics205132NEW YORKNo
32080P0205XPediatricsPediatric Endocrinology205132NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.