Eric Jay Sodicoff, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD067882L Issued in PA

Practice address

655 Montgomery St Ste 810
San Francisco, CA 94111-2677

Phone

(844) 847-8216

Fax

(415) 520-9150

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, CA, AL, NC, FL, NY, NE, NJ, KY, MO, UT, SC12 enrollments

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 12

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Virta Medical P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1093225138

  AL, FL, KY, MO, NC, NE, NJ, NY, PA, SC, UT

  Medicare reassignment
• Ready Responders Pennsylvania LLC

  • General Practice Physician
  • Lansdale, PA
  • NPI 1194341214
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1699873570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MARSHWOOD DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263856",
            "telephone_number": "610-547-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 810",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112677",
            "telephone_number": "844-847-8216",
            "fax_number": "415-520-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Marshwood Dr",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194263856",
            "country_code": "US",
            "telephone_number": "610-547-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODICOFF",
        "first_name": "ERIC",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD067882L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENCE",
            "identifier": "MD067882L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Allison Sobol
• Social-Cultural Adult Child and Family Therapy Professional Corporation
• Erica Soderborg
• Susan Elizabeth Soderstrom, D.D.S.
• Jaskiranjeet Sodhi
• Otuwakemi Ayomide Sodire
• James Than Soe, PHARMD
• Kyaw K Soe
• Myat H Soe, M.D.
• Pyone Wai Wai Soe, M.D.

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.

Verify at the official NPI Registry.