Active NPI
Jonathan W. Socha, L.AC., DIPL.AC.
- Acupuncturist
- New York, NY
National Provider Identifier
1477863785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1644 | CO | MD | Medical 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.