Individual provider Active NPI

John P Sorrentino, M.D.

  • Gynecology Physician
  • West Springfield, MA
National Provider Identifier
1932179504
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
33835 Issued in MA
Practice address
46 Daggett Dr
Suite 3B
West Springfield, MA 01089-4638
Phone
(413) 747-4544
Fax
(413) 747-4552
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 33835 MA Primary

Addresses

Primary practice location

46 Daggett Dr
Suite 3B
West Springfield, MA 01089-4638

Mailing address

46 Daggett Dr
Suite 3B
West Springfield, MA 01089-4638
Phone (413) 747-4544

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sonography Associates Inc PastSince Aug 22, 2002 Accepting new patients

Organizations & group practices 1

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932179504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DAGGETT DR",
            "address_2": "SUITE 3B",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894638",
            "telephone_number": "413-747-4544",
            "fax_number": "413-747-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DAGGETT DR",
            "address_2": "SUITE 3B",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894638",
            "telephone_number": "413-747-4544",
            "fax_number": "413-747-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "33835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.