Individual provider Active NPI

Norberto Luke Soto, M.D.

  • Plastic Surgery Physician
  • Englewood, NJ
National Provider Identifier
1003875063
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA07387500 Issued in NJ
Practice address
106 Grand Ave
Suite 490
Englewood, NJ 07631-3574
Phone
(201) 816-0040
NPI assigned
Mar 20, 2006
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA07387500 NJ Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 25MA07387500 NJ

Addresses

Primary practice location

106 Grand Ave
Suite 490
Englewood, NJ 07631-3574

Mailing address

106 Grand Ave
Suite 490
Englewood, NJ 07631-3574
Phone (201) 816-0040

Other identifiers 1

IdentifierTypeStateIssuer
8973709MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000665 NJ Practitioner - Plastic and Reconstructive Surgery 8022050343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Grand Ave
Suite 490
Englewood, NJ 07631-3565

106 Grand Ave
Suite 490
Englewood, NJ 07631-3570

106 Grand Ave
Suite 490
Englewood, NJ 07631-3596
Phone (201) 816-0040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07387500NJMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shwetambara Parakh MD LLC Plastic Surgery CurrentSince Jul 24, 2022 Accepting new patients
Advanced Aesthetic Associates, Inc. Plastic Surgery CurrentSince Apr 9, 2002 Accepting new patients

Locations

106 Grand Ave
Ste 490
Englewood, NJ 07631
Phone (201) 567-1919

Interoperability endpoints

  • Direct secure messaging: nsoto190261@ahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1003875063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE",
            "address_2": "SUITE 490",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313574",
            "telephone_number": "201-816-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE",
            "address_2": "SUITE 490",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313574",
            "telephone_number": "201-816-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "NORBERTO",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA07387500",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MA07387500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8973709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.