Active NPI
Christine Sosnowski
- Family Nurse Practitioner
- Sugarloaf, PA
National Provider Identifier
1376965467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP013507
- Practice address
- 8 Brookhill SQ S
Sugarloaf, PA 18249-1010 - Phone
- (570) 459-0029
- Fax
- (570) 454-5757
- NPI assigned
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP013507 | PA | Primary |
Addresses
Primary practice location
8 Brookhill SQ S
Sugarloaf, PA 18249-1010
Mailing address
1580 Lakewood Rd Ste 16
Toms River, NJ 08755-3287
Phone (732) 456-7777
Other practice location 1
1536 Northampton St
Easton, PA 18042-3130
Phone (732) 456-7777
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102924175 | Medicaid | PA | |
| 7670979 | Other | PA | AETNA |
| 30253437 | Other | NJ | AMERIHEALTH CARITAS |
| 1168291 | Other | PA | GATEWAY HEALTH |
| 773925 | Other | PA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013507 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Health Services Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Upper Darby, PA
- NPI 1831236637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1376965467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 LAKEWOOD RD STE 16",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087553287",
"telephone_number": "732-456-7777",
"fax_number": "848-251-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 BROOKHILL SQ S",
"city": "SUGARLOAF",
"state": "PA",
"postal_code": "182491010",
"telephone_number": "570-459-0029",
"fax_number": "570-454-5757"
}
],
"practiceLocations": [
{
"address_1": "1536 Northampton St",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "PA",
"postal_code": "180423130",
"country_code": "US",
"telephone_number": "732-456-7777",
"fax_number": "848-251-2189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOSNOWSKI",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP013507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102924175",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7670979",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH CARITAS",
"identifier": "30253437",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH",
"identifier": "1168291",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "773925",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sugarloaf, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.