JUANITO T. SO MD – NPI #1659370146
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

JUANITO SO is a physician located in AMSTERDAM, NY. NPPES has assigned the NPI number 1659370146 to JUANITO SO on July 18, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 13 years ago on Oct 24, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUANITO SO below.

NPI Profile for
JUANITO T. SO

NPI Number
1659370146
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUANITO T. SO
Credentials
MD
Primary location
380 GUY PARK AVE
ST. MARY'S HOSPITAL, FAM HLTH CNTR AT CARONDELET PAVILI
AMSTERDAM, NY 12010
Phone: (518) 841-7415 Fax: (518) 841-7422
Mailing address
427 GUY PARK AVE - PRIMARY & SPECIALTY CARE DEPT.
ST. MARY'S HOSPITAL AT AMSTERDAM
AMSTERDAM, NY 12010
Phone: (518) 841-7430 Fax: (518) 841-7121
Sole Proprietor
No
Updated
Identifiers

Identifiers for JUANITO SO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERC.D.P.H.P.NY10010372
OTHERM.V.P.NY11506
MEDICAIDNY00462193
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
NY 137258-1
207R00000X
- Internal Medicine
NY 137258/-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.