JOHN T SOTTILE (NPI# 1639274012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639274012 |
| Entity Type | Individual |
| Full Name | JOHN T SOTTILE |
| Credential | DPM |
| Practice Address |
89 Cromwell Ave Staten Island NY 10304-3944 |
| Practice Telephone | 7189800126 |
| Mailing Telephone | 7189800126 |
| Mailing Fax Number | 7189809252 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N004912 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | P55503 | 01 | |
| NY | 017859375 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578689949 | John Sottile | Chiropractor | 19 Midstate Dr Ste 130, Auburn, MA 01501-1858 | 2007-03-21 |
| 1952352627 | John Sottile | Emergency Medicine | 100 Grand St, New Britain, CT 06052-2016 | 2006-05-15 |
| Street Address |
89 CROMWELL AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184699795 | Gary Bartholomew Gugliada | Podiatrist | 89 Cromwell Ave, Staten Island, NY 10304-3944 | 2006-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1457603391 | Michelle Zhubrak | Podiatrist | 175 Zoe St Apt 3m, Staten Island, NY 10305-1129 | 2012-10-02 |
| 1902100712 | Patrick Nowak | Podiatrist | 2984 Hylan Blvd, Staten Island, NY 10306-4060 | 2011-01-08 |
| 1881917748 | Julya A Keselman | Podiatrist | 229 Hales Ave, Staten Island, NY 10312-6102 | 2010-03-08 |
| 1104061498 | Janet Carney Dpm,pc | Podiatrist | 432 Clawson St, Staten Island, NY 10306-4350 | 2008-12-16 |
| 1710148135 | John P Terranella | Podiatrist | 2470 Victory Blvd, Staten Island, NY 10314-6612 | 2008-06-18 |
| 1417127705 | Ding Cheng Yang | Podiatrist | 66 Zachary Ct, Staten Island, NY 10310-2672 | 2008-03-03 |
| 1275716037 | Gary Spindler | Podiatrist | 386 Green Valley Rd, Staten Island, NY 10312-1820 | 2007-12-14 |
| 1992988364 | Deborah Marion Siegel | Podiatrist | 5656 Amboy Rd, Staten Island, NY 10309-3102 | 2007-12-08 |
| 1851599005 | Jon R Sundell Dpm PC | Podiatrist | 7355 Amboy Rd, Staten Island, NY 10307-1426 | 2007-07-10 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
Please comment or provide details below to improve the information on JOHN T SOTTILE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.