Organization Active NPI

Sokoloff Management, LLC

  • Family Medicine Physician
  • Perryville, MD
National Provider Identifier
1740748219
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOKOLOFF MANAGEMENT, LLC
Practice address
1001 Cedar Corner Rd Ste B
Perryville, MD 21903-2306
Phone
(410) 942-9552
Fax
(410) 942-9509
NPI assigned
Mar 4, 2019
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Keith Sokoloff, DONPI 1881641132
Title
Owner
Phone
(302) 509-1679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1001 Cedar Corner Rd Ste B
Perryville, MD 21903-2306

Mailing address

735 Letitia Dr
Hockessin, DE 19707-9227
Phone (302) 509-1679

Other practice location 1

131 S Union Ave Ste A
Havre DE Grace, MD 21078-3138
Phone (410) 942-9552

Other identifiers 1

IdentifierTypeStateIssuer
900272OtherMDBEACON HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190603000535 MD Part B Supplier - Clinic/Group Practice 7618200890 Receives reassigned benefits from 1 practitioner
Practice locations: Perryville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2167637Sokoloff Management, LLC Sokoloff Family Medicine1001 Cedar Corner Rd, Perryville, MD 21903Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Locations

1001 Cedar Corner Rd
Ste B
Perryville, MD 21903
Phone (302) 509-1679

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1740748219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 LETITIA DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079227",
            "telephone_number": "302-509-1679",
            "fax_number": "410-942-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CEDAR CORNER RD STE B",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219032306",
            "telephone_number": "410-942-9552",
            "fax_number": "410-942-9509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 S Union Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Havre DE Grace",
            "state": "MD",
            "postal_code": "210783138",
            "country_code": "US",
            "telephone_number": "410-942-9552",
            "fax_number": "410-942-9509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOKOLOFF MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "SOKOLOFF",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-509-1679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH",
            "identifier": "900272",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.