Sophia Leonida M.D., PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

023160 Issued in CT

Legal business name

SOPHIA LEONIDA M.D., PC

Practice address

2505 Main St.
Stratford, CT 06615

Phone

(203) 375-9350

Fax

(203) 375-8013

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sophia V. Leonida, M.D.

Title

Owner

Phone

(203) 375-9350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stationhouse Pediatrics Doing business as

Tax ID family

Sophia Leonida MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sophia V. Leonida, MD PC

  • Pediatric Nurse Practitioner
  • Fairfield, CT
  • NPI 1508241076
  NPD tax ID

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1205958675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MAIN ST.",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "203-375-9350",
            "fax_number": "203-375-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MAIN ST.",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "203-375-9350",
            "fax_number": "203-375-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA LEONIDA M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "LEONIDA",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-375-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "023160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004208923",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stationhouse Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lavonne Smith, LMSW
• Vernay Snow
• Gregory N. Soloway, M.D.
• Brandon Soney, FNP
• Ju-Young Song
• Martha Soto, BCBA
• Melinda Soto, LCSW
• Elise Soulier, MS,OTR/L
• Southern Connecticut Vascular Center, LLC
• Southwest Trauma Informed Integrated Care LLC

• Primary Care Clinic/Center in Stratford, CT
• Providers in Stratford, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.