Individual provider Active NPI

Corinna Balanon Soriano, M.D.

  • Pediatrics Physician
  • Newtown, CT
National Provider Identifier
1528046307
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
045840 Issued in CT
Practice address
32 Church Hill Rd
Newtown, CT 06470-1638
Phone
(203) 426-5437
Fax
(203) 262-4255
NPI assigned
Jan 3, 2006
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 045840 CT Primary

Addresses

Primary practice location

32 Church Hill Rd
Newtown, CT 06470-1638

Mailing address

32 Church Hill Rd
Newtown, CT 06470-1638
Phone (203) 426-5437

Other practice location 1

22 Old Waterbury Rd
Ste 204
Southbury, CT 06488-3848
Phone (203) 262-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080408000149 CT Practitioner - Pediatric Medicine 1759354814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
Church Hill Pediatrics and Adolescents Medicine, LLC Pediatrics Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1528046307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHURCH HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701638",
            "telephone_number": "203-426-5437",
            "fax_number": "203-262-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHURCH HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701638",
            "telephone_number": "203-426-5437",
            "fax_number": "203-262-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Old Waterbury Rd",
            "address_2": "Ste 204",
            "address_purpose": "LOCATION",
            "city": "Southbury",
            "state": "CT",
            "postal_code": "064883848",
            "country_code": "US",
            "telephone_number": "203-262-4250",
            "fax_number": "203-262-4255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALANON SORIANO",
        "first_name": "CORINNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "045840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

Verify at the official NPI Registry.