Active NPI
Victoria Gonsorcik, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Somerville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MB08799900
- Practice address
- 110 Rehill Ave
Somerset Medical Center
Somerville, NJ 08876-2519 - Phone
- (908) 685-2935
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 009608 | OH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | OT011210 | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MB08799900 | NJ | Primary |
Addresses
Primary practice location
110 Rehill Ave
Somerset Medical Center
Somerville, NJ 08876-2519
Mailing address
PO Box 48131
Newark, NJ 07101-8331
Phone (908) 685-2935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- West Virginia School of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11110 Medical Campus Rd
Suite 230
Hagerstown, MD 21742-6727
Phone (301) 665-4900
Hospital & facility affiliations
- Meritus Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009608 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
| OT011210 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Medical Laboratory LLC | Current | Accepting new patients | |
| Medical Practices of Antietam, LLC | Current | Accepting new patients | |
| Medical Practices of Antietam LLC | Current | Accepting new patients | |
| Somerset Pathology Associates, LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
11110 Medical Campus Rd
Ste 230
Hagerstown, MD 21742
Phone (301) 665-4900
11110 Medical Campus Rd
Hagerstown, MD 21742
Phone (240) 313-9800
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Hagerstown, MD
- NPI 1710854963
-
- General Practice Physician
- Hagerstown, MD
- NPI 1558430843
-
- Clinical Medical Laboratory
- Hagerstown, MD
- NPI 1679518971
-
- Anatomic Pathology & Clinical Pathology Physician
- Somerville, NJ
- NPI 1366583254
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1487876637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48131",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071018331",
"telephone_number": "908-685-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 REHILL AVE",
"address_2": "SOMERSET MEDICAL CENTER",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762519",
"telephone_number": "908-685-2935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSORCIK",
"first_name": "VICTORIA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "009608",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "OT011210",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MB08799900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.