Clarissa Soto, CDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

200076 Issued in NJ

Practice address

1001 Laurel Oak Rd Ste C2
Voorhees, NJ 08043-3512

Phone

(856) 783-3515

Fax

(856) 783-3517

NPI assigned

Mar 19, 2011

Last updated

Mar 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300492800000",
    "number": "1245539006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 GARFIELD AVE",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083327641",
            "telephone_number": "609-431-3394",
            "fax_number": "856-367-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAUREL OAK RD STE C2",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433512",
            "telephone_number": "856-783-3515",
            "fax_number": "856-783-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "CLARISSA",
        "name_prefix": "Mrs.",
        "credential": "CDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-19",
        "last_updated": "2011-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NJ",
            "license": "200076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL RADIOGRAPHY LICENSE",
            "identifier": "639755",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DENTAL ASSISTANT",
            "identifier": "200076",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sonn
• Madeline Sorebo
• Amutha Arularasi Sornaraj, M.D.
• Amina Sosic, MD
• Alberto Soto, APN
• Mark Sotto, PT
• Amyrath-Laye A Souradjou
• Jeanann Sousou-Coppola, CNM
• South Jersey Behavioral Health Resources, Inc.
• South Jersey Gastroenterology PA

• Dental Assistant in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Dental Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.