Active NPI
Irene Soloway, RPA-C
- Medical Physician Assistant
- Bronx, NY
National Provider Identifier
1518083336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 007628
- Practice address
- 803 East 138TH
Port Morris Wellness Center
Bronx, NY 10454-1902 - Phone
- (718) 292-6450
- NPI assigned
- Mar 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 007628 | NY | Primary |
Addresses
Primary practice location
803 East 138TH
Port Morris Wellness Center
Bronx, NY 10454-1902
Mailing address
1500 Waters PL
BLDG 102, Ward 20, Floor 6
Bronx, NY 10461-2723
Phone (718) 409-9450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00245643 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yeshiva University | Past | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Methadone Clinic
- Bronx, NY
- NPI 1891837910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1518083336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WATERS PL",
"address_2": "BLDG 102, WARD 20, FLOOR 6",
"city": "BRONX",
"state": "NY",
"postal_code": "104612723",
"telephone_number": "718-409-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 EAST 138TH",
"address_2": "PORT MORRIS WELLNESS CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "104541902",
"telephone_number": "718-292-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOWAY",
"first_name": "IRENE",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "007628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00245643",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.