Jaime R. Soriano MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA30213 Issued in NJ

Legal business name

JAIME R. SORIANO MD PA

Practice address

50 Union Ave Ste 506
Irvington, NJ 07111-3292

Phone

(973) 374-3200

Fax

(973) 399-0081

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jaime R Soriano, M.D.

Title

President

Phone

(973) 374-3200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1073673547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION AVE STE 506",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113292",
            "telephone_number": "973-374-3200",
            "fax_number": "973-399-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION AVE STE 506",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113292",
            "telephone_number": "973-374-3200",
            "fax_number": "973-399-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME R. SORIANO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-374-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA30213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2898306",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073673547",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.