Individual provider Active NPI

Jean-Paul O Sorondo, M.D., M.S.

  • Emergency Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1821234402
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
109985 Issued in FL
Practice address
1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Phone
(954) 355-5199
NPI assigned
Jan 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 109985 FL Primary

Addresses

Primary practice location

1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510

Mailing address

1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Phone (954) 355-5199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110908002058 FL Practitioner - Emergency Medicine 4284804816 Reassigns benefits to 3 organizations
I20230403000782 VT Practitioner - Emergency Medicine 4284804816 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109985FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
South Miami Criticare Inc. Emergency Medicine CurrentSince Nov 15, 2016 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Mar 27, 2023 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Mar 27, 2023 Accepting new patients
Florida Em-I Medical Services, PA Past Accepting new patients

Locations

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1821234402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-355-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-355-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORONDO",
        "first_name": "JEAN-PAUL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-02",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "109985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.