Individual provider Active NPI

Jonathan W. Socha, L.AC., DIPL.AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1477863785
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004281 Issued in NY
Practice address
27 W 71St St
Suite 4D
New York, NY 10023-4138
Phone
(333) 333-3333
NPI assigned
Oct 20, 2010
Reactivated
May 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1644 CO
Acupuncturist 171100000X 004281 NY Primary

Addresses

Primary practice location

27 W 71St St
Suite 4D
New York, NY 10023-4138

Mailing address

27 W 71St St
Suite 4D
New York, NY 10023-4138

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1644COMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1477863785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W 71ST ST",
            "address_2": "SUITE 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W 71ST ST",
            "address_2": "SUITE 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234138",
            "telephone_number": "333-333-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCHA",
        "first_name": "JONATHAN",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "L.AC., DIPL.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "deactivation_date": "2014-03-21",
        "reactivation_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1644",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.