Organization Active NPI

Sonoelite Imaging, Inc.

  • Sonography Specialist/Technologist Cardiovascular
  • Richmond Hill, NY
National Provider Identifier
1104125400
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
132113 Issued in NY
Legal business name
SONOELITE IMAGING, INC.
Practice address
8435 101St St
Richmond Hill, NY 11418-1110
Phone
(718) 355-9096
Fax
(718) 725-7103
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Carolina Vallejo, RDCS
Title
Ceo
Phone
(347) 617-1697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XS1301X 132113 NY Primary

Addresses

Primary practice location

8435 101St St
Richmond Hill, NY 11418-1110

Mailing address

8435 101St St
Richmond Hill, NY 11418-1110
Phone (718) 355-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111024000369 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7214100064 Practice locations: Richmond Hill, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1104125400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 101ST ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181110",
            "telephone_number": "718-355-9096",
            "fax_number": "718-725-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 101ST ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181110",
            "telephone_number": "718-355-9096",
            "fax_number": "718-725-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOELITE IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-617-1697",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NY",
            "license": "132113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.