Active NPI
Sung J Sohn, MD
- Nephrology Physician
- Goshen, NY
National Provider Identifier
1306847439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 129468
- Practice address
- 15 Matthews St
Goshen, NY 10924-1995 - Phone
- (845) 294-7833
- Fax
- (845) 294-5820
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 129468 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 129468 | NY |
Addresses
Primary practice location
15 Matthews St
Goshen, NY 10924-1995
Mailing address
PO Box 605
Goshen, NY 10924-0605
Phone (845) 294-7833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00545648 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110428000532 | NY | Practitioner - Internal Medicine | 3971788357 | Practice locations: Goshen, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15 Matthews St
Suite 202
Goshen, NY 10924-1995
Phone (845) 294-7833
Hospital & facility affiliations
- Garnet Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129468 | NY | MD | Nephrology Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1306847439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 605",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109240605",
"telephone_number": "845-294-7833",
"fax_number": "845-294-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MATTHEWS ST",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241995",
"telephone_number": "845-294-7833",
"fax_number": "845-294-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOHN",
"first_name": "SUNG",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "129468",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "129468",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00545648",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.