Provider Demographics
NPI:1558468090
Name:SOMOGYI, STEVEN G (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:SOMOGYI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 DRYDEN RD
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-1109
Mailing Address - Country:US
Mailing Address - Phone:732-826-6859
Mailing Address - Fax:732-283-8943
Practice Address - Street 1:613 AMBOY AVE
Practice Address - Street 2:L101
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-2645
Practice Address - Country:US
Practice Address - Phone:732-826-6859
Practice Address - Fax:732-826-6790
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-19
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA46392207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
222888382OtherFEDERAL TAX ID
NJ501510Medicare PIN
NJC56509Medicare UPIN