Kathleen Bober-Sorcinelli, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

025798 Issued in CT

Practice address

435 Lewis Avenue
Suite 220
Meriden, CT 06451

Phone

(203) 238-7747

Fax

(203) 686-0282

NPI assigned

Jun 6, 2006

Last updated

Oct 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kbobersorcinelli2574@direct.ynhh.org

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1740229632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LUNAR DRIVE",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "06525",
            "telephone_number": "203-389-7504",
            "fax_number": "203-389-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LEWIS AVENUE",
            "address_2": "SUITE 220",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06451",
            "telephone_number": "203-238-7747",
            "fax_number": "203-686-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBER-SORCINELLI",
        "first_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "025798",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "025798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001257989",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa A Blackmer
• Robert L. Block, M.D.
• Blossoming Butterflies LLC
• Bluegrass Medicine & Nephrology, LLC
• Maxwell A Boatey, DMD
• Anthony Joseph Boguslawski
• Stephanie M Boguslawski
• Keith C Boldon, M.D.
• Gabriel Patrick Bombino, PA
• Margaret A Borelli, LCSW

• Medical Oncology Physician in Meriden, CT
• Providers in Meriden, CT by specialty
• Medical Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.