JACK SOTERAKIS


Address: 100 Port Washington Blvd, Roslyn, NY 11576-1353
Phone: 5165626230

JACK SOTERAKIS (NPI# 1598768624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598768624
Entity Type Individual
Full Name JACK SOTERAKIS
Credential M.D.
Practice Address 100 Port Washington Blvd
Roslyn
NY 11576-1353
Practice Telephone 5165626230
Mailing Telephone 5165626230
Enumeration Date 2005-05-23
Last Update Date 2009-09-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
107338 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 100 PORT WASHINGTON BLVD
City ROSLYN
State NY
Zip Code 11576-1353

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700499779 Olivia Paige Omage Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1353 2020-08-28
1871101006 Mark Granados Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-07-14
1871110692 Nicole Amanda Waxner Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-06-27
1710509062 Allison L Chan Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-05-09
1730715269 Sreeja Nair Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1353 2020-03-16
1871127027 Laura Grace Krukowski Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576 2020-02-26
1518591015 Punam Patel Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-02-24
1306486196 Brendan Heitz Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-01-09
1740829613 Johanna Eve Schwartz Social Worker 100 Port Washington Blvd, Roslyn, NY 11576-1347 2019-12-24
1629611322 Kaitlin Anne Monteith Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2019-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265075998 Haley W Feit Optometrist 1085 Northern Blvd, Roslyn, NY 11576 2019-10-25
1346765187 Fern Wendi Schanback Counselor 24 Mackay Way, Roslyn, NY 11576 2017-08-12
1932577574 Soma Fit Physical Therapy Pllc Physical Therapist 55 Lumber Rd, Suite 105, Roslyn, NY 11576 2015-09-14
1679953699 Linda D.r. Miller Speech-Language Pathologist 7 Woodland Road, Roslyn, NY 11576 2015-06-04
1629463450 Angela Maria Taveras Social Worker 141 Old Northern Blvd, Rosalyn, NY 11576 2015-03-30
1043594922 Robin Hananel Speech-Language Pathologist 29 The Oaks, Roslyn, NY 11576 2011-10-10
1073838207 Lucille A Barker Occupational Therapist 1441old Northern Blvd, Roslyn, NY 11576 2010-03-31
1518100163 Robert Eugene Goldberger Surgery 4 The Birches, Roslyn, NY 11576 2009-04-13
1336388461 Sarah Lamattina Counselor 1441 Old Northern Boulevard, Roslyn, NY 11576 2009-02-12
1508001553 Leslie Jane Brownstein Speech-Language Pathologist 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 2008-12-04
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972701563 Kailash Chand Singhvi Internal Medicine 36 Melby Ln, 167 Highway 33, Manalapan,nj 07726, Roslyn, NY 11576-2543 2007-07-05
1134267776 Sanford R Goldberg Internal Medicine 1800 Northern Blvd, Roslyn, NY 11576-1140 2007-02-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326645870 Gastro 2020 Pllc Internal Medicine 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 2020-10-07
1457963241 Medical Services of Uniondale, PC Internal Medicine 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 2020-08-21
1619586419 Kazbay Medical Pllc Internal Medicine 83 Salierno Rd, Tuxedo Park, NY 10987-4712 2020-07-28
1487279725 Akifa Samdani, Md PC Internal Medicine 120 E 86th St # 2b, New York, NY 10028-1062 2020-06-12
1326673559 Jack Husney Md P.C. Internal Medicine 2228 E 8th St, Brooklyn, NY 11223-4944 2020-03-09
1669005690 Ron Porat Jankelson Internal Medicine 200 E 64th St Apt 10b, New York, NY 10065-7441 2020-02-18
1891345666 Jrr Medical PC Internal Medicine 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 2019-09-13
1497218762 Rudoy Medical PC Internal Medicine 2644 E 19th St, Brooklyn, NY 11235-3303 2019-04-12
1194287235 Ng Medical Brooklyn Pllc Internal Medicine 943 60th St # C1, Brooklyn, NY 11219-4871 2019-04-05
1144786682 Health Quest Medical Practice, PC Internal Medicine 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 2019-02-20
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City ROSLYN
Zip Code 11576

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Dataset Information

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.

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