Active NPI
Sotomayor Medical Practice, P.C.
- Family Medicine Physician
- Reading, PA
National Provider Identifier
1285783597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOTOMAYOR MEDICAL PRACTICE, P.C.
- Practice address
- 1220 Centre Ave
Reading, PA 19601-1458 - Phone
- (610) 898-1200
- Fax
- (610) 898-7600
- NPI assigned
- Jan 9, 2007
- Last updated
- Oct 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matilde Rodriguez-Sotomayor, M.D.
- Title
- Owner
- Phone
- (610) 898-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MD032776E | PA | |
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1220 Centre Ave
Reading, PA 19601-1458
Mailing address
1220 Centre Ave
Reading, PA 19601-1458
Phone (610) 898-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026312170001 | Medicaid | PA | |
| PENDING | Other | PA | MEDICARE GROUP # PENDING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1220 Centre Ave
Reading, PA 19601
Phone (484) 987-2738
Interoperability endpoints
- https://api.platform.athenahealth.com/15069/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Family Medicine Physician
- Reading, PA
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- Neurology Physician
- Reading, PA
- NPI 1043321961
-
- Clinical Social Worker
- Reading, PA
- NPI 1891929725
-
- Medical Physician Assistant
- Reading, PA
- NPI 1740567353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318809600000",
"number": "1285783597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 CENTRE AVE",
"city": "READING",
"state": "PA",
"postal_code": "196011458",
"telephone_number": "610-898-1200",
"fax_number": "610-898-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 CENTRE AVE",
"city": "READING",
"state": "PA",
"postal_code": "196011458",
"telephone_number": "610-898-1200",
"fax_number": "610-898-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOTOMAYOR MEDICAL PRACTICE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2011-10-17",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ-SOTOMAYOR",
"authorized_official_first_name": "MATILDE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-898-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PA",
"license": "MD032776E",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026312170001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP # PENDING",
"identifier": "PENDING",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.