Active NPI
Sonoelite Imaging, Inc.
- Sonography Specialist/Technologist Cardiovascular
- Richmond Hill, NY
National Provider Identifier
1104125400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- License
- 132113
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111024000369 | NY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7214100064 | Practice locations: Richmond Hill, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1720050040
-
- Clinical Cardiac Electrophysiology Physician
- Corona, NY
- NPI 1497978456
-
- Specialist
- New York, NY
- NPI 1770634941
-
- Otolaryngology Physician
- Staten Island, NY
- NPI 1063420958
-
- Internal Medicine Physician
- Foley, AL
- NPI 1851387971
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.