Stephanie Joan Soto

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F347222 Issued in NY

Practice address

1147 Richmond Rd
Staten Island, NY 10304-2423

Phone

(718) 668-2340

NPI assigned

Mar 13, 2021

Last updated

Mar 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

BMG East Orange LLCGroup PAC ID 5193063154, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BMG East Orange LLC

  dba Urgent Care & Walk-in Medical Suite

  • Urgent Care Clinic/Center
  • East Orange, NJ
  • NPI 1659882082
  Medicare reassignment Care Compare group
• Oak Tree Healthcare PA

  • Urgent Care Clinic/Center
  • Belleville, NJ
  • NPI 1083368674
  Medicare reassignment NPD
• Metrodoc Healthcare LLC

  • Primary Care Clinic/Center
  • Perth Amboy, NJ
  • NPI 1215628821
  NPD

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1437734290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 LINE RD",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301145",
            "telephone_number": "917-836-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042423",
            "telephone_number": "718-668-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "STEPHANIE",
        "middle_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yana Sotnikova, MSED
• Rosa I Soto Avila
• Jacqueline Soto
• Maria E Soto, PT
• Stephanie Beatriz Soto, RPH
• Victoria Rose Soto
• Sottile & Megna MD PC
• Giuseppe Sottile, PH.D.
• James Francis Sottile, DDS
• John T Sottile, DPM

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.

Verify at the official NPI Registry.