Douglas Soden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA5028300 Issued in NJ

Practice address

101 E Union Ave
Bound Brook, NJ 08805-1713

Phone

(732) 560-0490

Fax

(732) 560-3681

NPI assigned

Jan 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/gec4dOg2yghesFrkYuCFDQ-HfVUq5AqK/

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1134109705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051713",
            "telephone_number": "732-560-0490",
            "fax_number": "732-560-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051713",
            "telephone_number": "732-560-0490",
            "fax_number": "732-560-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODEN",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA5028300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Silva, BCBA
• Stephanie L Simmons, LSW
• Susan M Slater, MPT,OCS
• Peter Smith
• Renee A Smythe, LCSW
• Somerset Prosthetics and Orthotics Inc
• Special Abilities Global Network
• Station Pharmacy LLC (Bound Brook Pharmacy)
• Zora Stefanovski, D.M.D
• Mia Tanya Stula Kellam, LAC

• Family Medicine Physician in Bound Brook, NJ
• Providers in Bound Brook, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.