Individual provider Active NPI

Roberto S. Sozzi, M.D.

  • Prescribing (Medical) Psychologist
  • Clifton, NJ
National Provider Identifier
1326160128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
MAO33031 Issued in NJ
Practice address
1117 Main Ave
Suite 203
Clifton, NJ 07011-2379
Phone
(973) 458-8380
Fax
(973) 458-9890
NPI assigned
Apr 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X MAO33031 NJ Primary

Addresses

Primary practice location

1117 Main Ave
Suite 203
Clifton, NJ 07011-2379

Mailing address

1117 Main Ave
Suite 203
Clifton, NJ 07011-2379
Phone (973) 458-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171121001582 CA Practitioner - PsychiatryPractitioner - Physical Medicine and RehabilitationPractitioner - Pain ManagementPractitioner - Addiction MedicinePractitioner - Neuropsychiatry 3476573841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Neuropsychiatry, Pain Management, Physical Medicine and Rehabilitation
Education
Other, 1970
Medicare assignment
May accept Medicare assignment
Group practices
New Vision Medical Group Inc Professional CorpGroup PAC ID 2062671936, 2 clinicians

Practice addresses (Care Compare)

8484 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-3235
Phone (310) 360-7690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MAO33031NJMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Medical Group Inc Professional Corp CurrentSince Oct 6, 2017 Accepting new patients

Locations

8484 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 360-7690

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326160128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MAIN AVE",
            "address_2": "SUITE 203",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112379",
            "telephone_number": "973-458-8380",
            "fax_number": "973-458-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MAIN AVE",
            "address_2": "SUITE 203",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112379",
            "telephone_number": "973-458-8380",
            "fax_number": "973-458-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOZZI",
        "first_name": "ROBERTO",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NJ",
            "license": "MAO33031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.