Individual provider Active NPI

Samantha Mae Sostorecz, DO

  • Family Medicine Physician
  • Easton, PA
National Provider Identifier
1548944663
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT022458 Issued in PA
Practice address
3213 Nazareth Rd
Easton, PA 18045-2000
Phone
(484) 822-5333
NPI assigned
Jun 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT022458 PA Primary

Addresses

Primary practice location

3213 Nazareth Rd
Easton, PA 18045-2000

Mailing address

3213 Nazareth Rd
Easton, PA 18045-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230624000313 PA Order and Referring Only - Family PracticePractitioner - Family Practice 5799143640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT022458PAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ssostorecz221342@direct-sluhn.org

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1548944663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 NAZARETH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 NAZARETH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452000",
            "telephone_number": "484-822-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSTORECZ",
        "first_name": "SAMANTHA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT022458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.