Sophia Palmer

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG0514061 Issued in NY

Practice address

11 Poplar Rd
Amityville, NY 11701-1016

Phone

(631) 464-2889

NPI assigned

Aug 2, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

The Long Island HomeGroup PAC ID 8224055108, 22 clinicians

Fulton Medical PCGroup PAC ID 8527201540, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.71 of 100Reported as group

Quality

79.66

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fulton Medical, P.C.

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1841635133
  Medicare reassignment Care Compare group NPD
• The Long Island Home

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1821394016
  Medicare reassignment Care Compare group NPD
• Long Island Medical Services P.C.

  • Internal Medicine Physician
  • Syosset, NY
  • NPI 1841443538
  Medicare reassignment NPD
• The Long Island Home

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1568459204
  NPD
• Hematology and Oncology of Li PLLC

  • Hematology & Oncology Physician
  • Massapequa, NY
  • NPI 1629275938
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1003225152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 POPLAR RD",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011016",
            "telephone_number": "631-842-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 POPLAR RD",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011016",
            "telephone_number": "631-464-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-02",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "AG0514061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Graciela Ortiz, REGISTERED NURSE
• Bolajoko Oshikanlu, OTR
• Anna Ostrowska
• Allison Palazzo, LCSW
• Scott Palma, MA CFA
• Brittany Christine Palminteri
• Nicole Pan, LMHC
• Christine Olympia Papadatos, LMSW
• Sophie Pappas
• Geeta Suryaleant Parikh, MD

• Gerontology Nurse Practitioner in Amityville, NY
• Providers in Amityville, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.