Individual provider Active NPI

Isabella Sosnovsky, M.D.

  • Psychiatry Physician
  • Phila, PA
National Provider Identifier
1942252507
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD062626L Issued in PA
Practice address
8220 Castor Ave
Phila, PA 19152-2729
Phone
(215) 728-4550
Fax
(215) 728-4559
NPI assigned
May 16, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD062626L PA Primary

Addresses

Primary practice location

8220 Castor Ave
Phila, PA 19152-2729

Mailing address

8220 Castor Ave
Phila, PA 19152-2729
Phone (215) 728-4550

Other identifiers 2

IdentifierTypeStateIssuer
MD062626LOtherPALICENSE NUMBER
0017096800001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101117000082 PA Practitioner - Psychiatry 6800081803 Reassigns benefits to 1 organization
Practice locations: Newtown, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Yardley Rd
Suite 101
Newtown, PA 18940-1759
Phone (215) 860-7730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD062626LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Path (People Acting to Help), Inc CurrentSince Oct 1, 1999 Accepting new patients

Locations

8220 Castor Ave
Philadelphia, PA 19152
Phone (215) 728-4597

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1942252507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 CASTOR AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191522729",
            "telephone_number": "215-728-4550",
            "fax_number": "215-728-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 CASTOR AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191522729",
            "telephone_number": "215-728-4550",
            "fax_number": "215-728-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSNOVSKY",
        "first_name": "ISABELLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD062626L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD062626L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017096800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.