Sophia V. Leonida, MD PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

070195 Issued in CO

Legal business name

SOPHIA V. LEONIDA, MD PC

Doing business as

Stationhouse Pediatrics

Practice address

2228 Black Rock Tpke
Suite 211
Fairfield, CT 06825-3237

Phone

(203) 375-9350

Fax

(203) 375-8013

NPI assigned

Jul 27, 2015

Last updated

Jul 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan Melito

Title

Office Manager

Phone

(203) 375-9350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stationhouse Pediatrics Doing business as

Tax ID family

Sophia Leonida MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sophia Leonida M.D., PC

  dba Stationhouse Pediatrics

  • Primary Care Clinic/Center
  • Stratford, CT
  • NPI 1205958675
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7336/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1508241076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 BLACK ROCK TPKE",
            "address_2": "SUITE 211",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253237",
            "telephone_number": "203-375-9350",
            "fax_number": "203-375-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 BLACK ROCK TPKE",
            "address_2": "SUITE 211",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253237",
            "telephone_number": "203-375-9350",
            "fax_number": "203-375-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA V. LEONIDA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "MELITO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-375-9350",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "070195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004267383",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stationhouse Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryna Jocelyn Solon, MSPT
• Andrew Soltish, DPT
• Elizabeth Noelle Songer, PA-C
• Michael Kevin Sonick, DMD
• Danae Sonnenfeld, LCSW
• Imelda G Soriano-Taylor, D.D.S.
• Heidi Sormaz, PH.D.
• Sostilio Eye Care LLC (Modern Focus Optometry)
• Nicholas Ernest Sostilio, OD
• Sidet Sou, O.D.

• Pediatric Nurse Practitioner in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.