Active NPI
Sottile & Megna MD PC
- Gastroenterology Physician
- Staten Island, NY
National Provider Identifier
1508846296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SOTTILE & MEGNA MD PC
- Practice address
- 360 Edison St
Staten Island, NY 10306 - Phone
- (718) 351-6377
- Fax
- (718) 980-7341
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vincent M Sottile, MD
- Title
- President
- Phone
- (718) 351-6389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
360 Edison St
Staten Island, NY 10306
Mailing address
360 Edison St
Staten Island, NY 10306
Phone (718) 351-6377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C13128 | Other | NY | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
360 Edison St
Ste 1
Staten Island, NY 10306
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Staten Island, NY
- NPI 1477708717
-
- Gastroenterology Physician
- Staten Island, NY
- NPI 1053391482
-
- Gastroenterology Physician
- Staten Island, NY
- NPI 1083685994
-
- Gastroenterology Physician
- Staten Island, NY
- NPI 1235119660
-
- Gastroenterology Physician
- Staten Island, NY
- NPI 1992051635
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1609874270
-
- Clinical Pathology/Laboratory Medicine Physician
- West New York, NJ
- NPI 1124049671
NY
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1033428354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281916800000",
"number": "1508846296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 EDISON ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10306",
"telephone_number": "718-351-6377",
"fax_number": "718-980-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 EDISON ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10306",
"telephone_number": "718-351-6377",
"fax_number": "718-980-7341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOTTILE & MEGNA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2010-08-16",
"status": "A",
"authorized_official_last_name": "SOTTILE",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-351-6389",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "C13128",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.