Active NPI
Roberto S. Sozzi, M.D.
- Prescribing (Medical) Psychologist
- Clifton, NJ
National Provider Identifier
1326160128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- MAO33031
- 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, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1970
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MAO33031 | NJ | MD | Prescribing (Medical) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vision Medical Group Inc Professional Corp | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.