ALLISON ANN SOPKO MD
NPI 1922442615
Pediatrics in Florham Park, NJ

Active since April 24, 2013PECOS Enrolled
195 COLUMBIA TPKE STE 105, FLORHAM PARK, NJ 07932(973) 437-8300(973) 845-2883 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2018, Mar 17, 2018, Mar 6, 2018 (3 updates tracked since 2018).

About Allison Ann Sopko Md NPPES

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

ALLISON ANN SOPKO MD (NPI 1922442615) is an individual pediatrics provider in Florham Park, New Jersey, licensed in New Jersey (25MA09258100) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922442615
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALLISON ANN SOPKOCredential: MD
Location Address195 COLUMBIA TPKE STE 105Florham Park, NJ 07932
Mailing Address195 Columbia Tpke Ste 105Florham Park, NJ 07932-2254
Fax(973) 845-2883
Sole ProprietorYes
Enumeration DateApril 24, 2013
Last NPPES UpdateJuly 12, 20183 updates tracked since enumeration
✔ NPI 1922442615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA09258100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
195 COLUMBIA TPKE STE 105, Florham Park, NJ 07932

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allison Ann Sopko Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Allison Sopko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07932 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Pediatrics)
195 COLUMBIA TPKE STE 105
FLORHAM PARK, NJ 07932

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 Allison Sopko's NPI number?

The NPI number for Allison Sopko is 1922442615. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Allison Sopko located?

Allison Sopko practices at 195 Columbia Tpke Ste 105, Florham Park, NJ 07932. The listed phone number is (973) 437-8300.

What is Allison Sopko's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Allison Sopko enrolled in Medicare?

Yes. Allison Sopko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Allison Sopko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allison Sopko reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allison Sopko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allison Sopko accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Allison Sopko 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.

When was this NPI record last updated?

The NPPES record for Allison Sopko was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.