Individual provider Active NPI

Darlene A Soja, PA-C

  • Medical Physician Assistant
  • Ludlow, MA
National Provider Identifier
1942271325
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1294 Issued in MA
Practice address
14 Chestnut Place
Ludlow, MA 01056
Phone
(413) 589-7581
Fax
(413) 547-2738
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1294 MA Primary

Addresses

Primary practice location

14 Chestnut Place
Ludlow, MA 01056

Mailing address

819 Worcester St 3
Springfield, MA 01151-1056
Phone (413) 543-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000066 MA Practitioner - Physician Assistant 7113914573 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1294MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC CurrentSince Jan 7, 2008 Accepting new patients
Ipc Hospitalists of New England, P.C. Medical CurrentSince Jan 7, 2008 Accepting new patients

Locations

67 Union St
Natick, MA 01760
Phone (508) 383-1104

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

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, 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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1942271325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511056",
            "telephone_number": "413-543-6820",
            "fax_number": "413-543-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CHESTNUT PLACE",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "01056",
            "telephone_number": "413-589-7581",
            "fax_number": "413-547-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOJA",
        "first_name": "DARLENE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.