Individual provider Active NPI

Carol Ann O'Hagan Sotsky, M.D.

  • Infectious Disease Physician
  • Ridgewood, NJ
National Provider Identifier
1710966064
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA52271 Issued in NJ
Practice address
947 Linwood Ave
Suite 2E
Ridgewood, NJ 07450-2939
Phone
(201) 447-6468
Fax
(201) 447-3189
NPI assigned
Jan 14, 2006
Last updated
Dec 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MA52271 NJ Primary

Addresses

Primary practice location

947 Linwood Ave
Suite 2E
Ridgewood, NJ 07450-2939

Mailing address

947 Linwood Ave
Suite 2E
Ridgewood, NJ 07450-2939
Phone (201) 447-6468

Other identifiers 10

IdentifierTypeStateIssuer
1006662OtherNJAETNA HMO#
4327081OtherNJAETNA PPO#
110069102OtherNJRAILROAD MEDICARE#
1132502OtherNJHORIZON NJ HEALTH#
BS408OtherNJOXFORD#
0K3394OtherNJHEALTHNET#
25N401OtherNJEMPIRE BC/BS#
91001208500OtherNJAMERICHOICE#
0814709MedicaidNJ
81012OtherNJAMERIGROUP#

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
I20071228000007 NJ Practitioner - Infectious Disease 1951481282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
New York Medical College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgewood Infectious Disease Associates, PAGroup PAC ID 2961480819, 4 clinicians

Practice addresses (Care Compare)

947 Linwood Ave
Suite 2E
Ridgewood, NJ 07450-2900
Phone (201) 447-6468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA52271NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Infectious Disease Associates, PA CurrentSince Sep 1, 1985 Accepting new patients

Locations

947 Linwood Ave
Ste 2E
Ridgewood, NJ 07450
Phone (201) 447-6468

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1710966064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 LINWOOD AVE",
            "address_2": "SUITE 2E",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502939",
            "telephone_number": "201-447-6468",
            "fax_number": "201-447-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 LINWOOD AVE",
            "address_2": "SUITE 2E",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502939",
            "telephone_number": "201-447-6468",
            "fax_number": "201-447-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTSKY",
        "first_name": "CAROL",
        "middle_name": "ANN O'HAGAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-14",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA52271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO#",
            "identifier": "1006662",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO#",
            "identifier": "4327081",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE#",
            "identifier": "110069102",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH#",
            "identifier": "1132502",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD#",
            "identifier": "BS408",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET#",
            "identifier": "0K3394",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS#",
            "identifier": "25N401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE#",
            "identifier": "91001208500",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0814709",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP#",
            "identifier": "81012",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.