Individual provider Active NPI

McKinley Soriano, PA-C

  • Physician Assistant
  • Monticello, NY
National Provider Identifier
1225812951
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030479 Issued in NY
Practice address
32 Thompson Square Mall Ste 5
Monticello, NY 12701-3220
Phone
(845) 791-6400
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 030479 NY Primary

Addresses

Primary practice location

32 Thompson Square Mall Ste 5
Monticello, NY 12701-3220

Mailing address

32 Thompson Square Mall Ste 5
Monticello, NY 12701-3220
Phone (845) 791-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102000591 NY Practitioner - Physician Assistant 3274989819 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030479NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Middletown Medical PC CurrentSince Sep 11, 2023 Accepting new patients
Middletown Medical PC PastSince Sep 5, 2023 Accepting new patients

Locations

111 Maltese Dr
Middletown, NY 10940

32 Thompson Square Mall
Ste 5
Monticello, NY 12701
Phone (845) 791-6400

4058 State Route 42
Ste 5
Monticello, NY 12701

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1225812951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 THOMPSON SQUARE MALL STE 5",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013220",
            "telephone_number": "845-791-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 THOMPSON SQUARE MALL STE 5",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013220",
            "telephone_number": "845-791-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "MCKINLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.