Individual provider Active NPI

Mark Ira Sotsky, MD

  • Cardiovascular Disease Physician
  • Ridgewood, NJ
National Provider Identifier
1922070150
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA069231 Issued in NJ
Practice address
1200 E Ridgewood Ave
2ND Floor E Wing
Ridgewood, NJ 07450-3957
Phone
(201) 670-8660
Fax
(201) 447-1957
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA069231 NJ Primary

Addresses

Primary practice location

1200 E Ridgewood Ave
2ND Floor E Wing
Ridgewood, NJ 07450-3957

Mailing address

1200 E Ridgewood Ave
2ND Floor E Wing
Ridgewood, NJ 07450-3957
Phone (201) 670-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200122001331 NY Practitioner - Internal Medicine 8820282627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA069231NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Cardiovascular Disease CurrentSince Dec 13, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Dec 13, 2019 Accepting new patients
Ridgewood Cardiology Associates Cardiovascular Disease Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2300 Westchester Ave
Bronx, NY 10462
Phone (718) 409-8000

Organizations & group practices 3

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1922070150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "2ND FLOOR E WING",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-670-8660",
            "fax_number": "201-447-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "2ND FLOOR E WING",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-670-8660",
            "fax_number": "201-447-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTSKY",
        "first_name": "MARK",
        "middle_name": "IRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA069231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.