Active NPI
Michael S Santoro, MD
- Urology Physician
- East Meadow, NY
National Provider Identifier
1427165000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 127555
- Practice address
- 30 Merrick Ave
Suite 101
East Meadow, NY 11554 - Phone
- (516) 794-4488
- Fax
- (516) 794-4802
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 127555 | NY | Primary |
Addresses
Primary practice location
30 Merrick Ave
Suite 101
East Meadow, NY 11554
Mailing address
30 Merrick Ave
Suite 101
East Meadow, NY 11554
Phone (516) 794-4488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00460893 | Medicaid | NY |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127555 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1427165000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MERRICK AVE",
"address_2": "SUITE 101",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "11554",
"telephone_number": "516-794-4488",
"fax_number": "516-794-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MERRICK AVE",
"address_2": "SUITE 101",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "11554",
"telephone_number": "516-794-4488",
"fax_number": "516-794-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORO",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "127555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00460893",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.