Soho Otolaryngology PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

270543 Issued in NY

Legal business name

SOHO OTOLARYNGOLOGY PC

Practice address

198 Canal St Ste 403
New York, NY 10013-4533

Phone

(212) 233-2266

Fax

(888) 368-1539

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Amy Wu, MDNPI 1033355052

Title

Owner/Otolaryngologist

Phone

(212) 233-2268

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy P Wu, MD

  • Otolaryngology Physician
  • New York, NY
  • NPI 1033355052
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1134620735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CANAL ST STE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134533",
            "telephone_number": "212-233-2266",
            "fax_number": "888-368-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CANAL ST STE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134533",
            "telephone_number": "212-233-2266",
            "fax_number": "888-368-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHO OTOLARYNGOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "212-233-2268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "270543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pedram Sohrabi, MD

• Otolaryngology Physician in New York, NY
• Providers in New York, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.