SOPHIA KERAN SOLOMON (PA-C) – Surgical Physician Assistant, NPI 1104547827
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,576 PHYSICIAN ASSISTANT in NJ
Provider Addresses for SOPHIA KERAN SOLOMON (PA-C)
65 JAMES ST
EDISON, NJ 088203903
Phone: (732) 321-7000
Type: Location
1129 SEIB AVE
ELIZABETH, NJ 072022423
Phone: (908) 242-0620
Type: Mailing
342 HAMBURG TPKE STE 202
WAYNE, NJ 074702166
Phone: (973) 870-0777
Fax: (888) 972-9734
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $278.
Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: DJO, LLC ($91).
Total Amount
$278
General + Research + Ownership
Payments
9
Total payment records
General Amount
$278
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DJO, LLC | $91 |
| Seapearl East, Inc | $70 |
| Paratek Pharmaceuticals, Inc. | $66 |
| Smith+Nephew, Inc. | $34 |
| ConvaTec Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240618002928 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 08820)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NJ | |
| Orthopedic Surgery | MA | |
| Orthopedic Surgery | NY | |
| Physical Medicine And Rehabilitation, Osteopathic Manipulative Medicine | PA | |
| P O D I A T R Y | NJ | |
| Osteopathic Manipulative Medicine | NJ | |
| Osteopathic Manipulative Medicine | VA | |
| Orthopedic Surgery | IL | |
| P O D I A T R Y | NJ | |
| P O D I A T R Y | NJ |
Reviews
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