Organization Active NPI

John M Sortino MD PA

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1962689315
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME53109 Issued in FL
Legal business name
JOHN M SORTINO MD PA
Practice address
113 SE Mizner Blvd
Suite 10
Boca Raton, FL 33432-6030
Phone
(561) 391-8343
Fax
(561) 391-8294
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Dr. John M Sortino, M.D.
Title
Physician/ Ower
Phone
(561) 391-8343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME53109 FL Primary

Addresses

Primary practice location

113 SE Mizner Blvd
Suite 10
Boca Raton, FL 33432-6030

Mailing address

113 SE Mizner Blvd
Suite 10
Boca Raton, FL 33432
Phone (561) 391-8343

Other identifiers 1

IdentifierTypeStateIssuer
1194711010OtherFLPHYSICIAN NPI

National Provider Directory

National Provider Directory

Locations

33 SE 5th St
Ste 100
Boca Raton, FL 33432
Phone (561) 391-8343

111 SE Mizner Blvd
Ste 10
Boca Raton, FL 33432
Phone (561) 391-8343

113 SE Mizner Blvd
Ste 10
Boca Raton, FL 33432
Phone (561) 391-8343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1962689315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SE MIZNER BLVD",
            "address_2": "SUITE 10",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-391-8343",
            "fax_number": "561-391-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SE MIZNER BLVD",
            "address_2": "SUITE 10",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326030",
            "telephone_number": "561-391-8343",
            "fax_number": "561-391-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M SORTINO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "SORTINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/ OWER",
        "authorized_official_telephone_number": "561-391-8343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NPI",
            "identifier": "1194711010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.