Philip A. Sorabella, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA02643900 Issued in NJ

Practice address

20 Franklin Tpke
Waldwick, NJ 07463-1749

Phone

(201) 445-8822

Fax

(201) 447-7058

NPI assigned

Oct 6, 2005

Last updated

Jan 9, 2008By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Radiology Associates of Ridgewood P a

  • Mammography Clinic/Center
  • Waldwick, NJ
  • NPI 1336136662
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1093702821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631749",
            "telephone_number": "201-445-8822",
            "fax_number": "201-447-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631749",
            "telephone_number": "201-445-8822",
            "fax_number": "201-447-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORABELLA",
        "first_name": "PHILIP",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA02643900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie D Sipala, DPT
• Deanna L Smith
• Jonathan Smith, M.D.
• Michael Lloyd Smith Jr., APN
• Sinok Song
• Speech Therapy Partners LLC
• Sports Medicine Center of Bergen, PA (Excel Orthopedic Rehabilitation)
• Stacey Markowitz Hecht, MD, PA
• Julene Stassou, MS, RD
• Marissa Stellacci, PHARMD

• Diagnostic Radiology Physician in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.