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SOPHIA LANE PA-C
NPI 1831793652
Physician Assistant in Brooklyn, NY

Active since November 23, 2020PECOS Enrolled
745 64TH ST STE 2, BROOKLYN, NY 11220(718) 765-2520 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2021, Nov 23, 2020 (2 updates tracked since 2020).

About Sophia Lane Pa-c NPPES

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

SOPHIA LANE PA-C (NPI 1831793652) is an individual physician assistant in Brooklyn, New York, licensed in New York (026115) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nyack.

NPPES Registry Identity

NPI1831793652
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIA LANECredential: PA-C
Location Address745 64TH ST STE 2Brooklyn, NY 11220-4753
Mailing Address745 64th St Ste 2Brooklyn, NY 11220-4753 · (718) 765-2520
Phone(718) 765-2520
Sole ProprietorYes
Enumeration DateNovember 23, 2020
Last NPPES UpdateApril 23, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1831793652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 026115
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
745 64TH ST STE 2, Brooklyn, NY 11220
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Secondary Practice Location 1

Location 132 Washington StNyack, NY 10960-3728 · Phone (845) 709-3379

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Lane Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JUBIN EGHBALI MATLOUBIEH MD
Urology
745 64TH ST STE 2
BROOKLYN, NY 11220
Kings County (718) 283-7952

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 Sophia Lane's NPI number?

The NPI number for Sophia Lane is 1831793652. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Sophia Lane located?

Sophia Lane practices at 745 64th St Ste 2, Brooklyn, NY 11220. The listed phone number is (718) 765-2520.

What is Sophia Lane's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sophia Lane enrolled in Medicare?

Yes. Sophia Lane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Lane was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.