Somatus Empire State Ipa, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOMATUS EMPIRE STATE IPA, LLC

Practice address

80 Orville Dr Ste 100
Bohemia, NY 11716-2505

Phone

(571) 992-0600

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Alicia J Palmer

Title

Authorized Official

Phone

(202) 236-7061

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1184358210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 INTERNATIONAL DR STE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ORVILLE DR STE 100",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162505",
            "telephone_number": "571-992-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATUS EMPIRE STATE IPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "202-236-7061"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne G Slovin, LCSW
• Erica Smith, MA
• Marvin Soileau
• Taylor Sokol, LPN
• Laquetta D Solomon, LCSW
• Somatus Ipa, LLC
• Somatus Medical, P.C.
• Christine Lynn Sperzel
• Jennifer Spillane
• Lisa Sprague, LCSW

• Nephrology Physician in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.