Individual provider Active NPI

Samir Sodha, MD

  • Orthopaedic Surgery Physician
  • Montvale, NJ
National Provider Identifier
1407856990
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
232360 Issued in NY
Practice address
305 W Grand Ave
Montvale, NJ 07645-1813
Phone
(800) 321-9999
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 232360 NY
Orthopaedic Surgery Physician 207X00000X 232360 NY Primary

Addresses

Primary practice location

305 W Grand Ave
Montvale, NJ 07645-1813

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999

Other identifiers 1

IdentifierTypeStateIssuer
02571819MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20180531000036 NJ Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 3678530250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

7650 River Rd
North Bergen, NJ 07047-6526
Phone (201) 520-1955

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)68
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC Orthopaedic Surgery CurrentSince Jul 16, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 16, 2023 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Jul 16, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Orthopaedic Surgery CurrentSince Sep 16, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

795 Franklin Ave
Bldg A
Franklin Lakes, NJ 07417
Phone (201) 639-6620

795 Franklin Ave
Franklin Lks, NJ 07417
Phone (201) 639-6620

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

999 Route 73 N
Ste 401
Marlton, NJ 08053

50 Craig Rd
Montvale, NJ 07645
Phone (201) 639-6620

305 W Grand Ave
Montvale, NJ 07645
Phone (201) 391-0071

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

7650 River Rd
Ste 300ORTHO
North Bergen, NJ 07047
Phone (201) 520-1955

650 From Rd
Ste 420
Paramus, NJ 07652
Phone (201) 639-6620

Interoperability endpoints

  • Direct secure messaging: ssodha190256@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1407856990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W GRAND AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451813",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODHA",
        "first_name": "SAMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "232360",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "232360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02571819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

Verify at the official NPI Registry.