Active NPI
Jennifer J Sosnowski, MD
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1922052612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25789
- Practice address
- 17787 N Perimeter Dr
Suite A115
Scottsdale, AZ 85255-5454 - Phone
- (480) 588-7787
- Fax
- (480) 588-5121
- NPI assigned
- May 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25789 | AZ | Primary |
Addresses
Primary practice location
17787 N Perimeter Dr
Suite A115
Scottsdale, AZ 85255-5454
Mailing address
17787 N Perimeter Dr
Suite A115
Scottsdale, AZ 85255-5454
Phone (480) 588-7787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19220521612-02 | Medicaid | HI | |
| 0000275578 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 26, 2015 through May 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1922052612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17787 N PERIMETER DR",
"address_2": "SUITE A115",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555454",
"telephone_number": "480-588-7787",
"fax_number": "480-588-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17787 N PERIMETER DR",
"address_2": "SUITE A115",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555454",
"telephone_number": "480-588-7787",
"fax_number": "480-588-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSNOWSKI",
"first_name": "JENNIFER",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "25789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19220521612-02",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000275578",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.