Individual provider Active NPI

Robert J Soffer, M.D.

  • Anesthesiology Physician
  • Nyack, NY
National Provider Identifier
1487694626
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
239528 Issued in NY
Practice address
160 N Midland Ave
Nyack Hospital
Nyack, NY 10960-1912
Phone
(845) 348-2862
NPI assigned
Jun 7, 2006
Last updated
Aug 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 239528 NY Primary

Addresses

Primary practice location

160 N Midland Ave
Nyack Hospital
Nyack, NY 10960-1912

Mailing address

118 N Bedford Rd
Suite 200
Mount Kisco, NY 10549-2553
Phone (914) 666-8866

Other identifiers 1

IdentifierTypeStateIssuer
02753620MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060615000077 NY Practitioner - Anesthesiology 4789696618 Reassigns benefits to 2 organizations
I20201222001697 CT Practitioner - Anesthesiology 4789696618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers, Robert Woood Johnson Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

40 Old Ridgebury Rd
Danbury, CT 06810-5119
Phone (203) 205-2840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239528NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jun 18, 2020 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Sep 17, 2020 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 18, 2020 Accepting new patients
Orthopaedic Specialty Surgery Center LLC PastSince Sep 17, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Fpa Hospital Based Past Accepting new patients

Locations

40 Old Ridgebury Rd
Danbury, CT 06810
Phone (203) 205-2840

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

118 N Bedford Rd
Ste 200
Mount Kisco, NY 10549
Phone (800) 362-6220

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

974 Route 45
Pomona, NY 10970
Phone (845) 354-1113

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1487694626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N BEDFORD RD",
            "address_2": "SUITE 200",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492553",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "address_2": "NYACK HOSPITAL",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFFER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "239528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02753620",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.