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SOFIA VON FEDAK DO
NPI 1649063579
Student in an Organized Health Care Education/Training Program in Burlington, MA

Active since May 23, 2025
41 MALL RD, BURLINGTON, MA 01805(781) 744-5700 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sofia Von Fedak Do NPPES

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

SOFIA VON FEDAK DO (NPI 1649063579) is an individual student in an organized health care education/training program in Burlington, Massachusetts, licensed in Massachusetts (3019441) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1649063579
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOFIA VON FEDAKCredential: DO
Location Address41 MALL RDBurlington, MA 01805-0001
Mailing Address57 Lincoln RdSharon, MA 02067-1543
Phone(781) 744-5700
Sole ProprietorNo
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1649063579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 3019441
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
41 MALL RD, Burlington, MA 01805
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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.

SAHOOR KHAN
Internal Medicine (Interventional Cardiology)
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
FNU KALEEMULLAH MD
Hospitalist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
ARLENE DEBORAH STOLLER ACNS
Registered Nurse
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (617) 460-2222
THAIS BITENCOURT ROBERTS AGNP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
JULIE ALHADY
Pharmacist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-7592
DR. MEHDI KHANI MD
Student in an Organized Health Care Education/Training Program
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
FATIMA RODA
Physician Assistant
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
RAISA CUCCIO NP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000

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 Von Fedak's NPI number?

The NPI number for Sofia Von Fedak is 1649063579. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Sofia Von Fedak located?

Sofia Von Fedak practices at 41 Mall Rd, Burlington, MA 01805. The listed phone number is (781) 744-5700.

What is Sofia Von Fedak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sofia Von Fedak was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.