Individual provider Active NPI

Otto E Garay Soriano, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1972866333
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
281741 Issued in NY
Practice address
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone
(718) 616-3779
Fax
(718) 616-3797
NPI assigned
Jun 20, 2012
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 281741 NY Primary
Hospitalist Physician 208M00000X 281741 NY

Addresses

Primary practice location

2601 Ocean Pkwy
Brooklyn, NY 11235-7745

Mailing address

7925 150TH St Apt C1
Flushing, NY 11367-3807
Phone (347) 782-6943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151111000265 NY Practitioner - Emergency Medicine 4789994344 Reassigns benefits to 1 organization
I20240702000153 NY Practitioner - Hospitalist 4789994344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

160 E Main St
Port Jervis, NY 12771-2114
Phone (845) 858-7000

241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 7, 2024 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Jun 7, 2024 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Jul 8, 2019 Accepting new patients
Bon Secours Community Hospital Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

160 E Main St
Fl 1
Port Jervis, NY 12771
Phone (845) 858-7000

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1972866333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 150TH ST APT C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673807",
            "telephone_number": "347-782-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-3779",
            "fax_number": "718-616-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAY SORIANO",
        "first_name": "OTTO",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "281741",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "281741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.