Active NPI
Michael Soda, M.D.
- Vascular Surgery Physician
- Mine Hill, NJ
National Provider Identifier
1811911340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA029202
- Practice address
- 195 US Highway 46
Suite 201
Mine Hill, NJ 07803-3163 - Phone
- (973) 328-0160
- Fax
- (973) 328-4097
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA029202 | NJ | Primary |
Addresses
Primary practice location
195 US Highway 46
Suite 201
Mine Hill, NJ 07803-3163
Mailing address
195 Route 46
Suite 201
Mine Hill, NJ 07803-3163
Phone (973) 328-0160
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3255098 | Other | NJ | AETNA HMO |
| 0824026 | Other | NJ | CIGNA PROVIDER NUMBER |
| P2094566 | Other | NJ | OXFORD PROVIDER NUMBER |
| 020021302 | Other | NJ | RAILROAD MEDICARE |
| 4379026 | Other | NJ | AETNA PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA029202 | NJ | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Bracing and Orthotics, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Mine Hill, NJ
- NPI 1114446366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1811911340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 ROUTE 46",
"address_2": "SUITE 201",
"city": "MINE HILL",
"state": "NJ",
"postal_code": "078033163",
"telephone_number": "973-328-0160",
"fax_number": "973-328-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 US HIGHWAY 46",
"address_2": "SUITE 201",
"city": "MINE HILL",
"state": "NJ",
"postal_code": "078033163",
"telephone_number": "973-328-0160",
"fax_number": "973-328-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA029202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3255098",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "0824026",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "P2094566",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020021302",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4379026",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mine Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.