Soar Corp

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

SOAR CORP

Practice address

7500 Bristol Pike
Levittown, PA 19057

Phone

(215) 464-4450

Fax

(215) 464-4470

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Richard A Mangano

Title

Vice President

Phone

(215) 464-4450

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Opioid treatment program

Medicare-enrolled since Jul 8, 2022

Enrollment records 2

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Soar Corp

  • Methadone Clinic
  • Philadelphia, PA
  • NPI 1023287711

  O20210616000012, O20221101001207

  Same enrollment
• Soar Corp

  • Methadone Clinic
  • Lansdowne, PA
  • NPI 1376863043

  O20210616000012, O20221101001207

  Same enrollment
• Soar Corp

  • Methadone Clinic
  • Warminster, PA
  • NPI 1700382066

  O20210616000012, O20221101001207

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daryl C Watson, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Philadelphia, PA
  • NPI 1912926718
  NPD

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1043765621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST",
            "address_2": "SUITE 18",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-464-4450",
            "fax_number": "215-464-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BRISTOL PIKE",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "19057",
            "telephone_number": "215-464-4450",
            "fax_number": "215-464-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "MANGANO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "215-464-4450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102055379",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Slemmer, LPN
• Mark Slobodinsky, PT, DPT
• Heather J Smith, D.O.
• Jaron Smith, NP
• Barry Jay Snyder, M.D.
• Gregg Joshua Soffer, D.M.D.
• Solution Therapy Group LLC
• Caitlin Somerville, OD
• Cheryl M Sommer, PT
• Sosedov, LLC

• Methadone Clinic in Levittown, PA
• Providers in Levittown, PA by specialty
• Methadone Clinic in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.