Individual provider Active NPI

Tanya Somohano-Marquez, DMD

  • Prosthodontics
  • Stony Brook, NY
National Provider Identifier
1306001045
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
054786 Issued in NY
Practice address
1102 Westchester HL
Stony Brook, NY 11794-8712
Phone
(631) 632-8825
NPI assigned
Jul 22, 2008
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054786 NY
Student in an Organized Health Care Education/Training Program 390200000X
Prosthodontics 1223P0700X 054786 NY Primary

Addresses

Primary practice location

1102 Westchester HL
Stony Brook, NY 11794-8712

Mailing address

1102 Westchester HL
Stony Brook, NY 11794-8712
Phone (631) 632-8825

Other names 1

  • Tanya Somohano Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627000012 NY Practitioner - Oral Surgery 8729387808 Practice locations: Stony Brook, NY

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Puerto Rico School of Dentistry, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Stony Brook University SDM RM
170 Sullivan HL
Stony Brook, NY 11794-8705

Sullivan HL
RM 170
Stony Brook, NY 11794-8705
Phone (631) 632-8971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital at Stony Brook Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tanya.somohanomarquez@direct.stonybrookmedicine.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1306001045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 WESTCHESTER HL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948712",
            "telephone_number": "631-632-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 WESTCHESTER HL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948712",
            "telephone_number": "631-632-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMOHANO-MARQUEZ",
        "first_name": "TANYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054786",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "054786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "SOMOHANO",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.