Individual provider Active NPI

Stephen Daniel Socha, FNP-C

  • Family Nurse Practitioner
  • New London, CT
National Provider Identifier
1013486034
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7970 Issued in CT
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 442-0711
NPI assigned
Nov 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7970 CT Primary

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

8 Village Dr
East Lyme, CT 06333-1239
Phone (860) 213-1826

Other identifiers 1

IdentifierTypeStateIssuer
7970OtherCTADVANCED PRACTICE REGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307002955 CT Practitioner - Nurse Practitioner 0244125573 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
MHS Primary Care, Inc.Group PAC ID 4082507371, shared by 4 NPIs, 180 clinicians

Practice addresses (Care Compare)

230 Waterford Pkwy S
Waterford, CT 06385-1219
Phone (860) 444-3744

896 Washington St
Middletown, CT 06457-2912
Phone (860) 788-3632

Hospital & facility affiliations

  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Yale University CurrentSince Jun 4, 2021 Accepting new patients
MHS Primary Care Inc Family CurrentSince Oct 1, 2020 Accepting new patients
Yale University CurrentSince Jun 4, 2021 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Apr 1, 2022 Accepting new patients
MHS Primary Care Inc CurrentSince Mar 4, 2019 Accepting new patients
MHS Primary Care, Inc Family CurrentSince Mar 4, 2019 Accepting new patients

Locations

147 Westbrook Rd
Essex, CT 06426
Phone (860) 358-5065

896 Washington St
Middletown, CT 06457
Phone (860) 788-3632

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

230 Waterford Parkway S
Waterford, CT 06385
Phone (860) 271-4360

Interoperability endpoints

  • Direct secure messaging: ssocha9617@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: ssocha353420@direct.ynhh.org

Organizations & group practices 7

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

Hospital & facility affiliations 3

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1013486034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 VILLAGE DR",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331239",
            "telephone_number": "860-213-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCHA",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "7970",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.