Active NPI
Jill Sontarp-Prpich
- Contractor
- Commack, NY
National Provider Identifier
1013058783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 145 Commack Rd
Commack, NY 11725-3438 - Phone
- (631) 495-1270
- NPI assigned
- Feb 8, 2007
- Reactivated
- Jun 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NY | Primary |
Addresses
Primary practice location
145 Commack Rd
Commack, NY 11725-3438
Mailing address
145 Commack Rd
Commack, NY 11725-3438
Phone (631) 495-1270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1013058783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253438",
"telephone_number": "631-495-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253438",
"telephone_number": "631-495-1270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONTARP-PRPICH",
"first_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2012-06-26",
"deactivation_date": "2011-09-28",
"reactivation_date": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.