Active NPI
M S Park Sonoda, MD
- Obstetrics & Gynecology Physician
- Hartsdale, NY
National Provider Identifier
1265586796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- NY103194
- Practice address
- 142 North Central Avenue
Hartsdale, NY 10530 - Phone
- (914) 682-0590
- Fax
- (914) 686-3674
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NY103194 | NY | Primary |
Addresses
Primary practice location
142 North Central Avenue
Hartsdale, NY 10530
Mailing address
200 West 57TH Street
Suite 605
New York, NY 10019
Phone (212) 977-8787
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY103194 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265586796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST 57TH STREET",
"address_2": "SUITE 605",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-977-8787",
"fax_number": "212-977-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 NORTH CENTRAL AVENUE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "10530",
"telephone_number": "914-682-0590",
"fax_number": "914-686-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK SONODA",
"first_name": "M",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "NY103194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.