Individual provider Active NPI

Michelle V Soto, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1417042425
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
232055 Issued in NY
Practice address
760 Broadway
Room 2Ab216
Brooklyn, NY 11206-5317
Phone
(718) 724-2439
Fax
(718) 630-3058
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 232055 NY Primary

Addresses

Primary practice location

760 Broadway
Room 2Ab216
Brooklyn, NY 11206-5317

Mailing address

760 Broadway
Room 2Ab216
Brooklyn, NY 11206-5317
Phone (718) 724-2439

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
I20050119000493 NY Practitioner - Internal Medicine 0941259725 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Start Treatment & Recovery Centers Inc Current Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Feb 2, 2015 Accepting new patients
Startcare, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Jul 20, 2019 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Feb 2, 2015 Accepting new patients
Startcare, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

937 Fulton St
Brooklyn, NY 11238
Phone (718) 260-2900

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: msoto886818@nychhc.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1417042425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "address_2": "ROOM 2AB216",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-724-2439",
            "fax_number": "718-630-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "address_2": "ROOM 2AB216",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-724-2439",
            "fax_number": "718-630-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "MICHELLE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.