Sergio Salvatore Sorrentino, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

167442 Issued in NY

Practice address

7 Erie Ave
Hornell, NY 14843-1909

Phone

(607) 324-8255

Fax

(607) 324-8774

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• X-Ray, Inc.

  • Vascular & Interventional Radiology Physician
  • Lima, OH
  • NPI 1417970542

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053365783",
    "addresses": [
        {
            "country_code": "IT",
            "country_name": "Italy",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "231 VIA MANZONI",
            "city": "NAPLES",
            "state": "ITALY",
            "postal_code": "80122",
            "telephone_number": "011393356642841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ERIE AVE",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431909",
            "telephone_number": "607-324-8255",
            "fax_number": "607-324-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "SERGIO",
        "middle_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "167442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026402001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00972752",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE #",
            "identifier": "167442",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH641",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000922256001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE INSURANCE FUND",
            "identifier": "167442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarin Lea Singer, R.D.
• Robert Keith Smith, D.C.
• Sharon Loraine Smith, FNP
• Raegen Smythe
• Patricia R. Soper, DC
• Southern Tier Oncology LLC
• Southern Tier Optometric Center, Inc. (Council Optometric Center)
• Marietta L. Sparro, RN
• Spencer P. Annabel M.D., PC
• Kimber L Spencer, RN

• Diagnostic Radiology Physician in Hornell, NY
• Providers in Hornell, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.