NPIMap

Individual provider Active NPI

Sandeep Soman, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1730576299
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
293439 Issued in NY
Practice address
309 W 23Rd St FL 2
New York, NY 10011-2202
Phone
(212) 256-7000
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 293439 NY Primary

Addresses

Primary practice location

309 W 23Rd St FL 2
New York, NY 10011-2202

Mailing address

309 W 23Rd St FL 2
New York, NY 10011-2202
Phone (212) 256-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180904002151 NY Practitioner - Internal Medicine 4880944370 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

161 E Main St
Suite 300 301
Port Jervis, NY 12771-2113
Phone (845) 856-3812

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 14, 2018 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jul 14, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 12, 2020 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. Internal Medicine CurrentSince Jan 2, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

150 E 42nd St
Frnt A
New York, NY 10017

309 W 23rd St
#2
New York, NY 10011
Phone (212) 256-7000

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

309 W 23rd St
New York, NY 10011
Phone (212) 256-7016

30 Canal St
Port Jervis, NY 12771
Phone (800) 540-4485

161 E Main St
Ste 300301
Port Jervis, NY 12771
Phone (845) 856-3812

32 Canal St
Port Jervis, NY 12771
Phone (845) 291-3656

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: sandeepsoman@mai.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1730576299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W 23RD ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112202",
            "telephone_number": "212-256-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W 23RD ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112202",
            "telephone_number": "212-256-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMAN",
        "first_name": "SANDEEP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "293439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.