Individual provider Active NPI

Sukhveen Soni, PA

  • Physician Assistant
  • Hicksville, NY
National Provider Identifier
1003599473
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
55 W Old Country Rd Ste 1W
Hicksville, NY 11801-4037
Phone
(516) 312-6574
NPI assigned
Aug 10, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

55 W Old Country Rd Ste 1W
Hicksville, NY 11801-4037

Mailing address

19 Crandall Dr
Mineola, NY 11501-2110
Phone (516) 312-6574

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231006001600 NY Practitioner - Physician Assistant 5395190649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
New York University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Care Family Medicine, PCGroup PAC ID 9739333055, 13 clinicians

Practice addresses (Care Compare)

11220 Liberty Ave
South Richmond Hill, NY 11419-1814
Phone (718) 554-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030549NYMDSpeech-Language Pathologist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDACCA/Endpoint/DDACCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIEDCD/Endpoint/GIEDCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1003599473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CRANDALL DR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012110",
            "telephone_number": "516-312-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W OLD COUNTRY RD STE 1W",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014037",
            "telephone_number": "516-312-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "SUKHVEEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.