Individual provider Active NPI

Eileen Mariette Torres-Soto, M.D.

  • Pediatrics Physician
  • West New York, NJ
National Provider Identifier
1700828647
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA078712 Issued in NJ
Practice address
5301 Broadway
West New York, NJ 07093-2622
Phone
(201) 866-7721
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA078712 NJ Primary

Addresses

Primary practice location

5301 Broadway
West New York, NJ 07093-2622

Mailing address

530 Bennington Ter
Ridgewood, NJ 07450-2002
Phone (201) 652-0327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150423000932 NJ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4880912831

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA078712NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Kids Pediatrics, LLC PastSince Jun 14, 2020 Accepting new patients
BCD Health Partners Pediatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1700828647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BENNINGTON TER",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502002",
            "telephone_number": "201-652-0327",
            "fax_number": "201-652-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BROADWAY",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932622",
            "telephone_number": "201-866-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-SOTO",
        "first_name": "EILEEN",
        "middle_name": "MARIETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA078712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.