Individual provider Active NPI

Michael L Somerstein, MD

  • Nephrology Physician
  • Trenton, NJ
National Provider Identifier
1356370290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA21617 Issued in NJ
Practice address
40 Fuld St
Ste 401
Trenton, NJ 08638
Phone
(609) 599-1004
Fax
(609) 599-3611
NPI assigned
Jul 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Nephrology Physician 207RN0300X MA21617 NJ Primary

Addresses

Primary practice location

40 Fuld St
Ste 401
Trenton, NJ 08638

Mailing address

40 Fuld St
Ste 401
Trenton, NJ 08638
Phone (609) 599-1004

Other identifiers 1

IdentifierTypeStateIssuer
1457209MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA21617NJMDNephrology Physician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15515/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356370290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "STE 401",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-599-1004",
            "fax_number": "609-599-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "STE 401",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-599-1004",
            "fax_number": "609-599-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA21617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.