Individual provider Active NPI

Thin Thin Soe, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1073134169
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
80625 Issued in CT
Practice address
506 Lenox Ave
New York, NY 10037-1802
Phone
(212) 939-1406
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 80625 CT Primary

Addresses

Primary practice location

506 Lenox Ave
New York, NY 10037-1802

Mailing address

2045 Haring Street
Brooklyn, NY 11229-4015
Phone (929) 377-3989

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709000419 CT Practitioner - Internal MedicinePractitioner - Nephrology 6406360742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Columbia University College of Physicians and Surgeons, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Nephrology Associates LLCGroup PAC ID 0840330882, 3 clinicians

Practice addresses (Care Compare)

455 Lewis Ave
Meriden, CT 06451-2121
Phone (203) 237-6700

Hospital & facility affiliations

  • Wallingford Dialysis Care LLC Dialysis facility, Wallingford, CT, CCN 072549
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80625CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Nephrology Associates LLC Nephrology CurrentSince May 14, 2025 Accepting new patients

Locations

455 Lewis Ave
Ste 214
Meriden, CT 06451
Phone (203) 237-8855

Organizations & group practices 1

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 7

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1073134169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 HARING STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294015",
            "telephone_number": "929-377-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOE",
        "first_name": "THIN THIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "80625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.