Myriam Mondestin Sorrentino, MD

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

01095225A Issued in IN

Practice address

3700 Washington Ave # 1100
Evansville, IN 47714-0541

Phone

(812) 485-1894

Fax

(812) 485-1870

NPI assigned

Oct 18, 2005

Last updated

Feb 12, 2025By 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 5

Addresses

Other identifiers 1

Other names 1

• Myriam A.J Mondestin Sorrentino Other name

Medicare fee-for-service enrollment

Enrolled in NJ, PA, IN3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmondestinsorrentino425324@direct.ahsys.org
• Direct secure messaging: mmondestinsorrentino95824@epicdirect.rwjbh.org
• Direct secure messaging: myriam.mondestin-sorrentino.1@16449.direct.athenahealth.com
• Direct secure messaging: myriam.mondestin.sorrentino.1@7598.direct.athenahealth.com

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.

• St Mary's Medical Group, LLC

  dba Ascension Medical Group St. Vincent Evansville

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1164852539

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Princeton Healthcare Provider Group LLC

  dba Princeton Medicine Specialty Group

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1699141507

  Maternal & Fetal Medicine

  Medicare reassignment NPD
• Rutgers Health-RWJ Scleroderma Program

  • Allergy & Immunology (Internal Medicine) Physician
  • New Brunswick, NJ
  • NPI 1679655781
  Medicare reassignment NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment NPD
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515

  Gynecology

  Medicare reassignment NPD
• St Mary's Medical Group, LLC

  dba Ascension Medical Group St. Vincent Evansville

  • Nephrology Physician
  • Evansville, IN
  • NPI 1619307873

  Obstetrics & Gynecology

  NPD
• Princeton Healthcare Provider Group LLC

  dba Princeton Medicine Geriatrics

  • Geriatric Medicine (Internal Medicine) Physician
  • Plainsboro, NJ
  • NPI 1437818085
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1033207378
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Pulmonary Disease Physician
  • New Brunswick, NJ
  • NPI 1275563611
  NPD
• University of Penn-Medical Group

  • Plastic Surgery Physician
  • Philadelphia, PA
  • NPI 1194113118
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Virtua Medical Group, PA

  dba Virtua Reconstructive Orthopedics - Delran

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1750370110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MATCHAPONIX AVE",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088314080",
            "telephone_number": "732-521-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE # 1100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-1894",
            "fax_number": "812-485-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E Evesham Rd",
            "address_2": "bld 800",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434501",
            "country_code": "US",
            "telephone_number": "856-772-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDESTIN SORRENTINO",
        "first_name": "MYRIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06923000",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD448921",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD448921",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA06923000",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01095225A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8575703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRIAM",
            "last_name": "MONDESTIN SORRENTINO",
            "middle_name": "A.J",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reza G Mohammadi, MD
• Christopher A Mohammed
• Ashok Lal Mohan, RPT
• Nicholas Molfetta, M.D.
• Richard Alan Moll, DDS
• Danielle R. Monroe, LMHC
• Remy Montejano, LMHC
• Montgomery Chiropractic Wellness Center, LLC
• Ashley Elizabeth Montgomery, PHARMD
• Ashlyn Montgomery

• Maternal & Fetal Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Maternal & Fetal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.