Organization Active NPI

Soho Pediatric Group

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1508137290
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOHO PEDIATRIC GROUP
Practice address
552 Broadway
5N
New York, NY 10012-3922
Phone
(212) 334-3366
Fax
(212) 334-3981
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Robert Saken, MD
Title
Vice President
Phone
(212) 334-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

552 Broadway
5N
New York, NY 10012-3922

Mailing address

552 Broadway
5N
New York, NY 10012-3922
Phone (212) 334-3366

National Provider Directory

National Provider Directory

Locations

552 Broadway
Ste 5N
New York, NY 10012
Phone (212) 334-3366

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1508137290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 BROADWAY",
            "address_2": "5N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123922",
            "telephone_number": "212-334-3366",
            "fax_number": "212-334-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 BROADWAY",
            "address_2": "5N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123922",
            "telephone_number": "212-334-3366",
            "fax_number": "212-334-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHO PEDIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "SAKEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "212-334-3366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Jan 26, 2012; 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.