Active NPI
Cara Christie Sottile, CRNP
- Gerontology Nurse Practitioner
- Old Bridge, NJ
National Provider Identifier
1427523273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ00905100
- Practice address
- 42 Throckmorton LN Ste 211a
Old Bridge, NJ 08857-2572 - Phone
- (856) 423-7700
- Fax
- (856) 423-0823
- NPI assigned
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP019027 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP019027 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00905100 | NJ | Primary |
Addresses
Primary practice location
42 Throckmorton LN Ste 211a
Old Bridge, NJ 08857-2572
Mailing address
175 W Cohawkin Rd Ste C
Clarksboro, NJ 08020-1145
Phone (856) 423-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5625 Eiger Rd
200 Premier Family Physicians
Austin, TX 78735-8977
Phone (512) 892-7076
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP019027 | PA | MD | Adult Health Nurse Practitioner |
| 26NJ00905100 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Austin Family Practice Clinic, PLLC | Current | Accepting new patients |
Locations
5625 Eiger Rd
Ste 2
Austin, TX 78735
5625 Eiger Rd
Ste 200
Austin, TX 78735
170 Benney Ln
Ste 200
Dripping Springs, TX 78620
Phone (512) 858-2997
Interoperability endpoints
- cara.sottile.1@18292.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1235130592
-
- Nurse Practitioner
- Old Bridge, NJ
- NPI 1144797416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1427523273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 W COHAWKIN RD STE C",
"city": "CLARKSBORO",
"state": "NJ",
"postal_code": "080201145",
"telephone_number": "856-423-7700",
"fax_number": "856-423-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 THROCKMORTON LN STE 211A",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572572",
"telephone_number": "856-423-7700",
"fax_number": "856-423-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTTILE",
"first_name": "CARA",
"middle_name": "CHRISTIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP019027",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP019027",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ00905100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.