Individual provider Active NPI

Peter Christopher Sobieraj, MD

  • Student in an Organized Health Care Education/Training Program
  • New Rochelle, NY
National Provider Identifier
1194469544
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Montefiore New Rochelle Hospital Internal Medicine Resi
16 Guion Place
New Rochelle, NY 10802
Phone
(914) 365-3681
NPI assigned
Apr 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Montefiore New Rochelle Hospital Internal Medicine Resi
16 Guion Place
New Rochelle, NY 10802

Mailing address

204 Lancelot Dr
Elmira, NY 14903-1000
Phone (203) 841-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1194469544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LANCELOT DR",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149031000",
            "telephone_number": "203-841-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONTEFIORE NEW ROCHELLE HOSPITAL INTERNAL MEDICINE RESI",
            "address_2": "16 GUION PLACE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10802",
            "telephone_number": "914-365-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBIERAJ",
        "first_name": "PETER",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.