Active NPI
Melissa E Sorey, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Southampton, NJ
National Provider Identifier
1285897215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 26NN04324800
- Practice address
- 1805 Route 206 # 111213
Southampton, NJ 08088-3558 - Phone
- (609) 261-0240
- Fax
- (609) 291-8880
- NPI assigned
- Jul 9, 2008
- Last updated
- Sep 28, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | TP001923G | PA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 26NN04324800 | NJ | Primary |
Addresses
Primary practice location
1805 Route 206 # 111213
Southampton, NJ 08088-3558
Mailing address
8 Briarcliff Rd
Marlton, NJ 08053-2906
Other practice location 1
101 Burrs Rd Ste A&b
Westampton, NJ 08060-5517
Phone (609) 261-0240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NR04324800 | Other | NJ | RN LICENSE |
| RN207232L | Other | PA | REGISTERED NURSE LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP001923G | PA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1285897215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BRIARCLIFF RD",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 ROUTE 206 # 111213",
"city": "SOUTHAMPTON",
"state": "NJ",
"postal_code": "080883558",
"telephone_number": "609-261-0240",
"fax_number": "609-291-8880"
}
],
"practiceLocations": [
{
"address_1": "101 Burrs Rd Ste A&b",
"address_purpose": "LOCATION",
"city": "Westampton",
"state": "NJ",
"postal_code": "080605517",
"country_code": "US",
"telephone_number": "609-261-0240",
"fax_number": "856-291-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOREY",
"first_name": "MELISSA",
"middle_name": "E",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "PA",
"license": "TP001923G",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NJ",
"license": "26NN04324800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "26NR04324800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "RN207232L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.