Frederick Jay Soroka, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006446 Issued in NY

Practice address

365 County Road 39a
Suite 15
Southampton, NY 11968-5284

Phone

(631) 702-2300

Fax

(631) 702-2303

NPI assigned

Aug 14, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East End Pain Management, LLC

  dba East End Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Southampton, NY
  • NPI 1902852247
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1205028222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 COUNTRY RD 39A",
            "address_2": "SUITE 15 & 16",
            "city": "SOUTH HAMPTON",
            "state": "NY",
            "postal_code": "119685284",
            "telephone_number": "631-702-2300",
            "fax_number": "631-702-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 COUNTY ROAD 39A",
            "address_2": "SUITE 15",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685284",
            "telephone_number": "631-702-2300",
            "fax_number": "631-702-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROKA",
        "first_name": "FREDERICK",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Snyder
• Steven B Sobey, M.D.
• Stephen A Solnoki, DMD
• Christina Solomita, DPT
• Barton Seth Solomon, PH.D.
• Angela Soteriou, MD
• South Fork Medical Associates PC
• Southampton Care Center
• Southampton Endodontics, P.C.
• Southampton Hospital

• Chiropractor in Southampton, NY
• Providers in Southampton, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.