Organization Active NPI

Carlo a Soranno MD PC

  • Pediatrics Physician
  • Lindenhurst, NY
National Provider Identifier
1386667749
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0805371 Issued in NY
Legal business name
CARLO A SORANNO MD PC
Practice address
53 Harrington Avenue
Lindenhurst, NY 11757-3397
Phone
(631) 226-2600
Fax
(631) 226-3027
NPI assigned
Jul 26, 2006
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Dr. Carl Soranno, MD
Title
Vice President
Phone
(631) 226-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 0805371 NY Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 1709091 NY

Addresses

Primary practice location

53 Harrington Avenue
Lindenhurst, NY 11757-3397

Mailing address

53 Harrington Avenue
Lindenhurst, NY 11757-3397
Phone (631) 226-2600

Other identifiers 20

IdentifierTypeStateIssuer
4061686OtherAETNA
CP063OtherOXFORD
PA2772OtherHEALTH NET
10676OtherANTHEM
0015092OtherGHI
0070758001OtherAMRIHEALTH GROUP
0532079OtherAETNA US HEALTHCARE
OP208POtherHIP
080537A85OtherHEALTHFIRST
167628OtherAMRIHEALTH PPO POS
257051OtherBLUE CROSS
AG01296OtherMDNY
010080537NY01OtherBILLING ID#
0523936003OtherCIGNA PAL#
48468OtherAETNA US HEALTHCARE GROUP
62291607OtherATLANTIS
01087787OtherMEDICAID GROUP
0129885000OtherAMRIHEALTH HMO
00391539OtherMEDICAID
200444OtherCOMED

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1386667749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HARRINGTON AVENUE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573397",
            "telephone_number": "631-226-2600",
            "fax_number": "631-226-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 HARRINGTON AVENUE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573397",
            "telephone_number": "631-226-2600",
            "fax_number": "631-226-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLO A SORANNO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "SORANNO",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "631-226-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "0805371",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1709091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4061686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "CP063",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "PA2772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "10676",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0015092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMRIHEALTH GROUP",
            "identifier": "0070758001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0532079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "OP208P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "080537A85",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMRIHEALTH PPO POS",
            "identifier": "167628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "257051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AG01296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING ID#",
            "identifier": "010080537NY01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PAL#",
            "identifier": "0523936003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE GROUP",
            "identifier": "48468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "62291607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "01087787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMRIHEALTH HMO",
            "identifier": "0129885000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "00391539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMED",
            "identifier": "200444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.