Jacqueline Soares, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

612941 Issued in NY

Practice address

805 Saint Marks Ave Apt A4E
Brooklyn, NY 11213-1484

Phone

(718) 737-3661

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1447940168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SAINT MARKS AVE APT A4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131484",
            "telephone_number": "718-737-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT MARKS AVE APT A4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131484",
            "telephone_number": "718-737-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "JACQUELINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "612941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline So, DMD
• Kit So, ANP
• Man Ki So, D.D.S.
• Seolhee So
• Yat Ling So, RPH
• Ronald Soave, DPM
• Meigan Epps Hutchinson Sobczyk, MD
• Abe Sobel
• Jeffrey Sobel, LMHC
• Moishe Sobel

• Medical-Surgical Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical-Surgical Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.