Active NPI
Won Sohn, M.D.,P.C.
- Medical Specialty Clinic/Center
- Bayside, NY
National Provider Identifier
1295025427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 207025
- Legal business name
- WON SOHN, M.D.,P.C.
- Practice address
- 213-33 39TH Ave
Suite 248
Bayside, NY 11361 - Phone
- (718) 428-5333
- Fax
- (718) 428-5332
- NPI assigned
- Apr 8, 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. Won Sohn, M.D.
- Title
- Director
- Phone
- (718) 781-5821
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 207025 | NY | Primary |
Addresses
Primary practice location
213-33 39TH Ave
Suite 248
Bayside, NY 11361
Mailing address
P.O.Box 605043
Bayside, NY 11360
Phone (718) 428-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02088860 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1435 86th St
Ste 2
Brooklyn, NY 11228
Phone (718) 331-0044
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Bayside, NY
- NPI 1689626103
-
- Anatomic Pathology & Clinical Pathology Physician
- Manhasset, NY
- NPI 1154591378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302220800000",
"number": "1295025427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 605043",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11360",
"telephone_number": "718-428-5333",
"fax_number": "718-428-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213-33 39TH AVE",
"address_2": "SUITE 248",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11361",
"telephone_number": "718-428-5333",
"fax_number": "718-428-5332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WON SOHN, M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A",
"authorized_official_last_name": "SOHN",
"authorized_official_first_name": "WON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-781-5821",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NY",
"license": "207025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02088860",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.