Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sophia Tse

Individual provider Physician Assistant · NPI 1225608920

Sophia Tse is a Physician Assistant in Stony Brook, New York. Qualified in 2021, 5 years ago. Practices with New York Spine and Brain Surgery, University Faculty Practice Corporat, a 59-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Partly verified

Some contact details are missing from the federal record.

New York Spine And Brain Surgery 100 Nicolls Rd Hsc T12 Rm 080
Stony Brook, NY 11794-8122
Phone: (631) 444-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1225608920
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2021
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing addressNew York Spine And Brain Surgery, 100 Nicolls Rd., Hsc T12 Rm 080, Stony Brook, NY 11794-8122

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice New York Spine And Brain Surgery, University Faculty Practice Corporat — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Stony Brook