Active NPI
Dana Lee Soler, NP
- Adult Health Nurse Practitioner
- Centereach, NY
National Provider Identifier
1669916706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307754-1
- Practice address
- 106 Smith LN
Centereach, NY 11720-3804 - Phone
- (631) 445-7277
- NPI assigned
- Dec 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307754-1 | NY | Primary |
Addresses
Primary practice location
106 Smith LN
Centereach, NY 11720-3804
Mailing address
106 Smith LN
Centereach, NY 11720-3804
Phone (631) 445-7277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F307754-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dana.soler@direct.stonybrookmedicine.edu
Organizations & group practices 5
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.
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-
- Cardiac Rehabilitation Registered Nurse
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- NPI 1295778371
-
- Nurse Practitioner
- Port Jefferson, NY
- NPI 1821185109
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1669916706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 SMITH LN",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117203804",
"telephone_number": "631-445-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SMITH LN",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117203804",
"telephone_number": "631-445-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLER",
"first_name": "DANA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307754-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.