DR. SOFIA KONDRASHIN MD
NPI 1750460754
Psychiatry & Neurology - Child & Adolescent Psychiatry in Ridgewood, NJ

Q: What is Sofia Kondrashin's NPI number?

The NPI number for Sofia Kondrashin is 1750460754. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Sofia Kondrashin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: Is Sofia Kondrashin enrolled in Medicare?

No. Sofia Kondrashin has opted out of Medicare through August 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Sofia Kondrashin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 02, 2006Opted out of Medicare · through Aug 10, 2028

120 CHESTNUT STREET, RIDGEWOOD, NJ 07450(201) 444-3550(201) 934-0019 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Sofia Kondrashin Md NPPES

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

DR. SOFIA KONDRASHIN MD (NPI 1750460754) is an individual child & adolescent psychiatry provider in Ridgewood, New Jersey, licensed in New Jersey (25MA07661100) and active in the NPI registry since November 2006. She has opted out of Medicare through August 10, 2028.

NPPES Registry Identity

NPI1750460754

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. SOFIA KONDRASHINCredential: MD

Location Address120 CHESTNUT STREETRidgewood, NJ 07450

Mailing Address120 Chestnut StreetRidgewood, NJ 07450 · (201) 444-3550 · Fax (201) 934-0019

Phone(201) 444-3550

Fax(201) 934-0019

Sole ProprietorNo

Enumeration DateNovember 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1750460754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NJ · 25MA07661100

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

120 CHESTNUT STREET, Ridgewood, NJ 07450

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Sofia Kondrashin Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 10, 2018 through August 10, 2028.

Opt-Out Effective DateAugust 10, 2018

Opt-Out In Effect ThroughAugust 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. JANET SCHLISSEL LCSW LCADC

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