Individual provider Active NPI

Julian Sosner, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1356354088
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
177027 Issued in NY
Practice address
36 7TH Avenue
#411
New York, NY 10011
Phone
(212) 633-1242
Fax
(212) 633-2607
NPI assigned
Aug 14, 2006
Last updated
Apr 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 177027 NY Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 177027 NY

Addresses

Primary practice location

36 7TH Avenue
#411
New York, NY 10011

Mailing address

36 7TH Avenue
#411
New York, NY 10011
Phone (212) 633-1242

Other identifiers 1

IdentifierTypeStateIssuer
01149971MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214000722 NY Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 6608833371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management, Physical Medicine and Rehabilitation
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

305 7TH Ave
RM 13C
New York, NY 10001-6155
Phone (212) 633-1242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177027NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Interventional Pain Medicine Service, PC Physical Medicine & Rehabilitation CurrentSince May 16, 2010 Accepting new patients
St Vincents Hospital and Medical Center Past Accepting new patients

Locations

305 7th Ave
Rm 13C
New York, NY 10001
Phone (212) 633-1242

36 7th Ave
Ste 411
New York, NY 10011
Phone (212) 633-1249

Organizations & group practices 2

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1356354088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 7TH AVENUE",
            "address_2": "#411",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-633-1242",
            "fax_number": "212-633-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 7TH AVENUE",
            "address_2": "#411",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-633-1242",
            "fax_number": "212-633-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSNER",
        "first_name": "JULIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "177027",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "177027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01149971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.