Individual provider Active NPI

Marlon Soriano

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1881852069
Registry record updated Nov 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025942-1 Issued in NY
Practice address
14454 Sanford Ave
Apt 18
Flushing, NY 11355-1680
Phone
(718) 709-8316
NPI assigned
May 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 025942-1 NY Primary

Addresses

Primary practice location

14454 Sanford Ave
Apt 18
Flushing, NY 11355-1680

Mailing address

8714 63Rd Dr
Rego Park, NY 11374-4826
Phone (646) 462-0248

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

State licenses

LicenseStateTypeSpecialty
025942NYMDPharmacist
025942-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
East & West Physical Therapist & Acupuncture PLLC Physical Therapist Past Accepting new patients
Queens County Physical Therapy and Wellness,PC Physical Therapist PastSince Apr 1, 2007 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353196800000",
    "number": "1881852069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744826",
            "telephone_number": "646-462-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14454 SANFORD AVE",
            "address_2": "APT 18",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551680",
            "telephone_number": "718-709-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "MARLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-24",
        "last_updated": "2012-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025942-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.