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SOCORRO BALLESTEROS RELJA MD
NPI 1396486239
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Active since April 05, 2022PECOS Enrolled
301 E MAIN ST, BAY SHORE, NY 11706(631) 894-5943 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Socorro Ballesteros Relja Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOCORRO BALLESTEROS RELJA MD (NPI 1396486239) is an individual student in an organized health care education/training program in Bay Shore, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396486239
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOCORRO BALLESTEROS RELJACredential: MD
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (678) 733-1629
Phone(631) 894-5943
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1396486239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
301 E MAIN ST, Bay Shore, NY 11706
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Other Names 1

Former Name (1)Socorro Ballesteros

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Socorro Ballesteros Relja Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EHAB SABRY HANNA M.D.
Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Socorro Relja's NPI number?

The NPI number for Socorro Relja is 1396486239. It was assigned to this individual provider in the NPPES registry on April 5, 2022. The provider is also known as Socorro Ballesteros.

Where is Socorro Relja located?

Socorro Relja practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 894-5943.

What is Socorro Relja's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Socorro Relja enrolled in Medicare?

Yes. Socorro Relja is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Socorro Relja was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.