DR. BENJAMIN SOMMER, D.O. - NPI NUMBER 1528396710

Summary

Provider Name: DR. BENJAMIN SOMMER, D.O.

NPI Number: 1528396710

Clasification: Family Medicine (207Q00000X)

Organization: ROME MEDICAL GROUP, P.C.

Address:
5 MASONIC AVE
CAMDEN, NY
ZIP 13316

Phone Number: (315) 245-3192



Detailed Information

DR. Benjamin Sommer, D.O. is a family physician in Camden, NY with 5 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. The assigned NPI number for this provider is 1528396710 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year: 2009

The provider's business address is:

5 MASONIC AVE
CAMDEN, NY
ZIP 13316-234
Phone: (315) 245-3192

The enumeration date for this NPI number is 11/26/2009 and was last updated on 10/22/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207Q00000X Family Medicine 259845 NY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 259845-1 OTHER NY NY STATE LIC #

NPI Record

No. Field Name Field Value
1 NPI 1528396710
2 Entity Type Code 1
3 Provider Last Name Legal Name SOMMER
4 Provider First Name BENJAMIN
5 Provider Name Prefix Text DR.
6 Provider Credential Text D.O.
7 Provider First Line Business Practice Location Address 5 MASONIC AVE
8 Provider Business Practice Location Address City Name CAMDEN
9 Provider Business Practice Location Address State Name NY
10 Provider Business Practice Location Address Postal Code 133161234
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 3152453192
13 Provider Enumeration Date 11/26/2009
14 Last Update Date 10/22/2012
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 207Q00000X
17 Provider License Number 1 259845
18 Provider License Number State Code 1 NY
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Other Provider Identifier 1 259845-1
21 Other Provider Identifier Type Code 1 01
22 Other Provider Identifier State 1 NY
23 Other Provider Identifier Issuer 1 NY STATE LIC #
24 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.