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SOFIA TERNER M.D.
NPI 1174813505
Internal Medicine in Summit, NJ

Active since April 19, 2011PECOS EnrolledAccepts Medicare Assignment
99 BEAUVOIR AVE, SUMMIT, NJ 07901(908) 522-6414 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sofia Terner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOFIA TERNER M.D. (NPI 1174813505) is an individual internal medicine provider in Summit, New Jersey, licensed in New Jersey (25MA09816800) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1174813505
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSOFIA TERNERCredential: M.D.
Location Address99 BEAUVOIR AVESummit, NJ 07901-3533
Mailing Address465 South St Ste 103Morristown, NJ 07960-6442 · (973) 829-4080
Phone(908) 522-6414
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2011
Enumeration DateApril 19, 2011
Last NPPES UpdateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1174813505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA09816800✔ Licensed in NY · 270739
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
99 BEAUVOIR AVE, Summit, NJ 07901
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Secondary Practice Location 1

Location 1600 E 233rd St, Dept of MedicineBronx, NY 10466-2604 · Phone (718) 920-9850

Other Identifiers 1

Medicaid03888153NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sofia Terner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032335112
PECOS Enrollment IDI20160602000488
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
232 services111 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
81 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
63 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$14.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$65.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAUREN H IM-IMAMURA D.O,
Family Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
MEHAK FARRUKH
Student in an Organized Health Care Education/Training Program
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
CYNTHIA E CROSS
Nurse Practitioner (Adult Health)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (973) 971-5595
DR. OLUMUYIWA ADEDOTUN IBIKUNLE M.D
Internal Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
SONA KHURANA D.O.
Hospitalist
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-6414
AHS HOSPITAL CORP
General Acute Care Hospital
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (848) 332-1879
JODIE DARLING M.S. RD
Dietitian, Registered
99 BEAUVOIR AVE, BOX 243
SUMMIT, NJ 07901
Union County (908) 522-5756
MRS. MARYNA KUZNETSOV M.D.
Radiology (Diagnostic Radiology)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sofia Terner's NPI number?

The NPI number for Sofia Terner is 1174813505. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Where is Sofia Terner located?

Sofia Terner practices at 99 Beauvoir Ave, Summit, NJ 07901. The listed phone number is (908) 522-6414.

What is Sofia Terner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sofia Terner enrolled in Medicare?

Yes. Sofia Terner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sofia Terner accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sofia Terner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sofia Terner affiliated with any hospitals?

According to CMS data, Sofia Terner is affiliated with Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Sofia Terner was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.