Individual provider Active NPI

Marie Gloria Sortino, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
National Provider Identifier
1982840542
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
60-086732 Issued in NY
Practice address
29-54 170TH Street
Flushing, NY 11358-1517
Phone
(718) 539-1662
Fax
(718) 539-1662
NPI assigned
Dec 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 60-086732 NY Primary

Addresses

Primary practice location

29-54 170TH Street
Flushing, NY 11358-1517

Mailing address

29-54 170TH Street
Flushing, NY 11358-1517
Phone (718) 539-1662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
086732NYMDClinical Social Worker
60-086732NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230681600000",
    "number": "1982840542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29-54 170TH STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581517",
            "telephone_number": "718-539-1662",
            "fax_number": "718-539-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29-54 170TH STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581517",
            "telephone_number": "718-539-1662",
            "fax_number": "718-539-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORTINO",
        "first_name": "MARIE",
        "middle_name": "GLORIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "60-086732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.