Jenna Lauren Sonnenberg

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308262 Issued in NY

Practice address

45 Route 25a Ste C
Shoreham, NY 11786-1389

Phone

(631) 744-3303

Fax

(631) 744-1627

NPI assigned

Aug 8, 2017

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 NY

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Services of Setauket PCGroup PAC ID 7517398001, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (6 of 10)

Locations

Networks

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

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.

• Medical Services of Setauket, P.C.

  • Gastroenterology Physician
  • East Setauket, NY
  • NPI 1861026106
  Medicare reassignment Care Compare group NPD
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• Mather Faculty Medical Affiliates, University Faculty Practice Corp

  • Gastroenterology Physician
  • Port Jefferson Station, NY
  • NPI 1598607269
  NPD (past)
• Shoreham Medical Services P.C.

  • Internal Medicine Physician
  • Shoreham, NY
  • NPI 1164691879
  NPD (past)
• Winthrop Community Medical Affiliates PC

  • Internal Medicine Physician
  • Mineola, NY
  • NPI 1457873077
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• John T. Mather Memorial Hospital

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1093718728
  Care Compare affiliation

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1447775747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25A STE C",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25A STE C",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861389",
            "telephone_number": "631-744-3303",
            "fax_number": "631-744-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNENBERG",
        "first_name": "JENNA",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoreham Medical Services PC
• Shoreham Psychotherapy Services LCSW PLLC
• Shoreham-Wading River Central School District
• Luann Simmons, BSN, RN
• Jason Richard Slote
• Sound Family Medicine PC
• Soundview Optometry, PLLC
• Linda Marie Spallina, LMSW
• Rachel Haley Stearns, PA
• Lee Steimel, RN

• Adult Health Nurse Practitioner in Shoreham, NY
• Providers in Shoreham, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.