Active NPI
Angelica Maria Soto-Pereira, M.D.
- Pediatrics Physician
- West Orange, NJ
National Provider Identifier
1902034960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA09293500
- Practice address
- 405 Northfield Ave Ste LL2
West Orange, NJ 07052-3023 - Phone
- (973) 736-4442
- NPI assigned
- Jun 29, 2009
- Last updated
- Oct 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA09293500 | NJ | Primary |
Addresses
Primary practice location
405 Northfield Ave Ste LL2
West Orange, NJ 07052-3023
Mailing address
1010 Blackberry LN
Union, NJ 07083-8718
Phone (908) 247-0014
Other practice location 1
134 Summit Ave
Hackensack, NJ 07601-1310
Phone (201) 525-0077
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09293500 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children of Joy Pediatrics | Pediatrics | Past | Accepting new patients |
| Consensus Medical Group LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- angelica.soto-pereira.1@18614.direct.athenahealth.com
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.
-
- Pediatrics Physician
- Hackensack, NJ
- NPI 1144464553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1902034960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 BLACKBERRY LN",
"city": "UNION",
"state": "NJ",
"postal_code": "070838718",
"telephone_number": "908-247-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 NORTHFIELD AVE STE LL2",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523023",
"telephone_number": "973-736-4442"
}
],
"practiceLocations": [
{
"address_1": "134 Summit Ave",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076011310",
"country_code": "US",
"telephone_number": "201-525-0077",
"fax_number": "201-525-0072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTO-PEREIRA",
"first_name": "ANGELICA",
"middle_name": "MARIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2020-10-09",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA09293500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.