NPIMap

Individual provider Active NPI

Poonam Soni, M.D.

  • Internal Medicine Physician
  • Manahawkin, NJ
National Provider Identifier
1598850760
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07986500 Issued in NJ
Practice address
697 Mill Creek Road Suite 1
Manahawkin, NJ 08050
Phone
(609) 597-5699
Fax
(609) 597-5277
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07986500 NJ Primary

Addresses

Primary practice location

697 Mill Creek Road Suite 1
Manahawkin, NJ 08050

Mailing address

697 Millcreek Road Suite 1
Manahawkin, NJ 08050-3361
Phone (609) 597-5699

Other identifiers 1

IdentifierTypeStateIssuer
117106W76OtherNJMEDICARE GROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000754 NJ Practitioner - Internal MedicinePractitioner - General Practice 3870512767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poonam Soni MD PCGroup PAC ID 9335235399, 2 clinicians

Practice addresses (Care Compare)

697 Mill Creek Rd
Suite 1
Manahawkin, NJ 08050-3361
Phone (609) 597-5699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.03 of 100Reported as individual
Quality
75.09
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07986500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poonam Soni MD PC Internal Medicine CurrentSince Mar 23, 2007 Accepting new patients

Locations

697 Mill Creek Rd
Ste 1
Manahawkin, NJ 08050
Phone (609) 597-5699

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1598850760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MILLCREEK ROAD SUITE 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503361",
            "telephone_number": "609-597-5699",
            "fax_number": "609-597-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MILL CREEK ROAD SUITE 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-597-5699",
            "fax_number": "609-597-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "POONAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07986500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "117106W76",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.