Organization Active NPI

Sonata Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Huntingdon Valley, PA
National Provider Identifier
1417291790
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SONATA ENDOCRINOLOGY
Practice address
1197 Somers Rd
Huntingdon Valley, PA 19006-1923
Phone
(267) 242-0028
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Jane V Mayrin, MDNPI 1467679738
Title
Owner
Phone
(267) 242-0028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1197 Somers Rd
Huntingdon Valley, PA 19006-1923

Mailing address

1197 Somers Rd
Huntingdon Valley, PA 19006-1923
Phone (267) 242-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000440 PA Part B Supplier - Clinic/Group Practice 7911159918 Receives reassigned benefits from 1 practitioner
Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1417291790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 SOMERS RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061923",
            "telephone_number": "267-242-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 SOMERS RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061923",
            "telephone_number": "267-242-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONATA ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "MAYRIN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-242-0028",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.