Individual provider Active NPI

Surinder K Sodhi, MD

  • Pediatrics Physician
  • North Plainfield, NJ
National Provider Identifier
1871599423
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05498100 Issued in NJ
Practice address
719 US Highway 22
North Plainfield, NJ 07060-4924
Phone
(908) 561-4300
Fax
(908) 561-4340
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA05498100 NJ Primary

Addresses

Primary practice location

719 US Highway 22
North Plainfield, NJ 07060-4924

Mailing address

719 US Highway 22
North Plainfield, NJ 07060-4924
Phone (908) 561-4300

Other identifiers 1

IdentifierTypeStateIssuer
4523903MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Community Healthcare, Inc.Group PAC ID 5193637072, 18 clinicians

Practice addresses (Care Compare)

115 Christopher Columbus Dr
Jersey City, NJ 07302-5526
Phone (551) 256-8406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05498100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Healthcare LLC Past Accepting new patients
Jersey City Medical Center Past Accepting new patients
Urgent Health Care LLC Past Accepting new patients
Liberty Child and Adolescent Health Services Past Accepting new patients

Organizations & group practices 5

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1871599423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 US HIGHWAY 22",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604924",
            "telephone_number": "908-561-4300",
            "fax_number": "908-561-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 US HIGHWAY 22",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604924",
            "telephone_number": "908-561-4300",
            "fax_number": "908-561-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODHI",
        "first_name": "SURINDER",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05498100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4523903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.