Sofoluwe O Songonuga, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015381 Issued in NY

Practice address

525 Patricia CT
South Orange, NJ 07079-2701

Phone

(201) 407-7965

Fax

(973) 313-9041

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Metro Physical Therapy LLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1144028796

  NJ

  Medicare reassignment
• Revelation Therapy Health Services

  • Physical Therapist
  • East Orange, NJ
  • NPI 1043229651
  NPD (past)
• Revelation Therapy Services

  • Specialist
  • Newark, NJ
  • NPI 1780676999
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619017571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PATRICIA CT",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792701",
            "telephone_number": "201-407-7965",
            "fax_number": "973-313-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PATRICIA CT",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792701",
            "telephone_number": "201-407-7965",
            "fax_number": "973-313-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGONUGA",
        "first_name": "SOFOLUWE",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley R Simon, MD
• Skyline Ambulance Services
• Gabriel Ross Sloan, LSW
• Sofia Shapiro, MD, LLC
• Mary Songonuga
• Beth L Sosin, MD
• South Mountain Dental Specialty Group
• South Mountain Orthopaedic Associates LLC
• South Orange Chiropractic Center
• South Orange Dental Center PA

• Physical Therapist in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.