Active NPI
Yussie Sokoloff, PA-C
- Physician Assistant
- Far Rockaway, NY
National Provider Identifier
1003212747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 018199
- Practice address
- 1029 Neilson St Apt 3
Far Rockaway, NY 11691-5005 - Phone
- (516) 668-4022
- NPI assigned
- Nov 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018199 | NY | Primary |
Addresses
Primary practice location
1029 Neilson St Apt 3
Far Rockaway, NY 11691-5005
Mailing address
1029 Neilson St Apt 3
Far Rockaway, NY 11691-5005
Phone (516) 668-4022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oda Primary Health Care Network, Inc. | Past | Accepting new patients | |
| Renaissance Family Care | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- yussie.sokoloff@oda.eclinicaldirectplus.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1770828162
-
- Neuromusculoskeletal Medicine & OMM Physician
- Great Neck, NY
- NPI 1932342276
-
- Family Medicine Physician
- East Meadow, NY
- NPI 1346775889
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1720177066
-
- Family Medicine Physician
- East Meadow, NY
- NPI 1184946899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1003212747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 NEILSON ST APT 3",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915005",
"telephone_number": "516-668-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 NEILSON ST APT 3",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915005",
"telephone_number": "516-668-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOKOLOFF",
"first_name": "YUSSIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-07",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.