Michael David Sofronski, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0052198 Issued in MD

Practice address

18947 John J Williams Hwy Unit 205
Rehoboth Beach, DE 19971-4476

Phone

(302) 313-2000

Fax

(302) 644-1206

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306838008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 205",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714476",
            "telephone_number": "302-313-2000",
            "fax_number": "302-644-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 205",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714476",
            "telephone_number": "302-313-2000",
            "fax_number": "302-644-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFRONSKI",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0052198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400179600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.