Active NPI
Essex County Infectious Disease
- Infectious Disease Physician
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- ESSEX COUNTY INFECTIOUS DISEASE
- Practice address
- 199 Broad St
Suite 2a
Bloomfield, NJ 07003 - Phone
- (973) 748-4583
- Fax
- (973) 748-3243
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Ann Soroko, MD CEO CMO
- Title
- MD Owner
- Phone
- (973) 748-4583
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
199 Broad St
Suite 2a
Bloomfield, NJ 07003
Mailing address
199 Broad St
Suite 2a
Bloomfield, NJ 07003
Phone (973) 748-4583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3442802 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0872289 | Essex County Infectious Disease PC | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
199 Broad St
Ste 2A
Bloomfield, NJ 07003
Phone (973) 748-4583
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Bloomfield, NJ
- NPI 1407829526
-
- Family Nurse Practitioner
- Bloomfield, NJ
- NPI 1336004753
-
- Physician Assistant
- Westwood, NJ
- NPI 1932902160
-
- Infectious Disease Physician
- Englewood Cliffs, NJ
- NPI 1083851687
-
- Infectious Disease Physician
- Sayre, PA
- NPI 1306819701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982626008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 BROAD ST",
"address_2": "SUITE 2A",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "07003",
"telephone_number": "973-748-4583",
"fax_number": "973-748-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 BROAD ST",
"address_2": "SUITE 2A",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "07003",
"telephone_number": "973-748-4583",
"fax_number": "973-748-3243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX COUNTY INFECTIOUS DISEASE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SOROKO",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "973-748-4583",
"authorized_official_credential": "MD CEO CMO"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3442802",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
- Hazim Elsamani
- Ely Anesthesia, LLC
- Empire Medical Associates PC (Empire Medical Associates- Bloomfield)
- Nicole Erins, DPT
- Nelia Maria Espeso Napoles, DMD
- Essex Eye Surgery & Laser Center
- Essex Family Care Associates LLC
- Essex Hudson Urology PC
- Essex Oral Sugery Associates
- Eye Centers of America, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.