NPIMap

Organization Active NPI

Susan F. Sordoni, MD PC

  • Family Medicine Physician
  • Kingston, PA
National Provider Identifier
1972708857
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD072550L Issued in PA
Legal business name
SUSAN F. SORDONI, MD PC
Practice address
250 Pierce St
Suite 115
Kingston, PA 18704-5149
Phone
(570) 714-2999
Fax
(570) 714-2903
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Ms. Susan F. Sordoni, MDNPI 1770570459
Title
Family Practice Physician
Phone
(570) 714-2999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD072550L PA Primary

Addresses

Primary practice location

250 Pierce St
Suite 115
Kingston, PA 18704-5149

Mailing address

PO Box 1164
Kingston, PA 18704-0164
Phone (570) 714-2999

Other identifiers 8

IdentifierTypeStateIssuer
1058606OtherPAAETNA MC ADVANTAGE & HMO
0018304560003OtherPAMED PLUS 3 RIVERS UNASYN
61056770OtherPADEPARTMENT OF LABOR
0018304560003MedicaidPA
7822738OtherPAAETNA PPL
002782OtherPAFIRST PRIORITY
193973OtherPABLUE CROSS BLUE SHIELD
60162OtherPAGEISINGER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1972708857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1164",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040164",
            "telephone_number": "570-714-2999",
            "fax_number": "570-714-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 115",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-714-2999",
            "fax_number": "570-714-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN F. SORDONI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "SORDONI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "FAMILY PRACTICE PHYSICIAN",
        "authorized_official_telephone_number": "570-714-2999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD072550L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MC ADVANTAGE & HMO",
            "identifier": "1058606",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PLUS 3 RIVERS UNASYN",
            "identifier": "0018304560003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "61056770",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018304560003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPL",
            "identifier": "7822738",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "002782",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "193973",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "60162",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.