Active NPI
Andrew Y Soh, M.D.
- Medical Oncology Physician
- Kenmore, NY
National Provider Identifier
1104026145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 172437
- Legal business name
- ANDREW Y SOH, M.D.
- Practice address
- 2950 Elmwood Ave
Kenmore, NY 14217-1304 - Phone
- (716) 871-0171
- Fax
- (716) 871-0183
- NPI assigned
- Jul 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Y Soh, M.D.
- Title
- Owner
- Phone
- (716) 871-0171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 172437 | NY | Primary |
Addresses
Primary practice location
2950 Elmwood Ave
Kenmore, NY 14217-1304
Mailing address
2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 871-0171
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010170201 | Other | NY | UNIVERA |
| 000510477002 | Other | NY | BLUE CROSS BLUE SHIELD WN |
| 2706544 | Other | NY | INDEPENDENT HEALTH |
| 01218271 | Medicaid | NY |
Other names 1
- Harbor Medical
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184716800000",
"number": "1104026145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171304",
"telephone_number": "716-871-0171",
"fax_number": "716-871-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171304",
"telephone_number": "716-871-0171",
"fax_number": "716-871-0183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW Y SOH, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A",
"authorized_official_last_name": "SOH",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-871-0171",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "NY",
"license": "172437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010170201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD WN",
"identifier": "000510477002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "2706544",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01218271",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.