Active NPI
Jose R Sotolongo, MD
- Urology Physician
- Kingston, NY
National Provider Identifier
1457445330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 140172
- Practice address
- 111 Marys Ave
Kingston, NY 12401 - Phone
- (845) 339-4900
- Fax
- (845) 452-2406
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 140172 | NY | Primary |
Addresses
Primary practice location
111 Marys Ave
Kingston, NY 12401
Mailing address
1 Columbia Street
Ste 390
Poughkeepsie, NY 12601
Phone (845) 452-8730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00991942 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457445330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COLUMBIA STREET",
"address_2": "STE 390",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-452-8730",
"fax_number": "845-452-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARYS AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12401",
"telephone_number": "845-339-4900",
"fax_number": "845-452-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTOLONGO",
"first_name": "JOSE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "140172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00991942",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.