NPIMap

Organization Active NPI

Alexis Sorazon MD & Ramon Sandoval MD Great Falls Medical Center

  • Specialist
  • Paterson, NJ
National Provider Identifier
1154377877
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA63961 Issued in NJ
Legal business name
ALEXIS SORAZON MD & RAMON SANDOVAL MD GREAT FALLS MEDICAL CENTER
Practice address
355 Totowa Ave
Paterson, NJ 07502-2125
Phone
(973) 389-1300
NPI assigned
May 25, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Alexis Corazon, MDNPI 1770552614
Title
Owner
Phone
(973) 389-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA63961 NJ Primary

Addresses

Primary practice location

355 Totowa Ave
Paterson, NJ 07502-2125

Mailing address

355 Totowa Ave
Paterson, NJ 07502-2125
Phone (973) 389-1300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1154377877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TOTOWA AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075022125",
            "telephone_number": "973-389-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 TOTOWA AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075022125",
            "telephone_number": "973-389-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS SORAZON MD & RAMON SANDOVAL MD GREAT FALLS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "CORAZON",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-389-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA63961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.