Active NPI
Charles Sotovilla, CRNA
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 123658
- Practice address
- 1468 Madison Ave Dept of
New York, NY 10029-6508 - Phone
- (212) 241-7473
- NPI assigned
- Jul 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 620794 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 123658 | NY | Primary |
Addresses
Primary practice location
1468 Madison Ave Dept of
New York, NY 10029-6508
Mailing address
44 Autumn Ave
Brooklyn, NY 11208-1512
Phone (718) 213-3281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (917) 681-4963
561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Hospital & facility affiliations
- New York-Presbyterian Hospital
- Hudson Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123658 | NY | MD | Clinical Social Worker |
| 620794 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canj Anesthesia LLC | Current | Accepting new patients | |
| Bay Anesthesia LLC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current | Accepting new patients |
Locations
561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010
500 Grand Ave
Ste 3
Englewood, NJ 07631
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Anesthesiology Physician
- East Brunswick, NJ
- NPI 1063151546
-
- Anesthesiology Physician
- Secaucus, NJ
- NPI 1881353662
-
- Anesthesiology Physician
- Rocky Point, NY
- NPI 1952387276
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
-
- General Acute Care Hospital
- Secaucus, NJ
- NPI 1710491253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648252800000",
"number": "1932685773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 AUTUMN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112081512",
"telephone_number": "718-213-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MADISON AVE DEPT OF",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296508",
"telephone_number": "212-241-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTOVILLA",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-16",
"last_updated": "2022-03-26",
"certification_date": "2022-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "620794",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "123658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.