Individual provider Active NPI

Anthony A Somogyi

  • General Practice Physician
  • Bayside, NY
National Provider Identifier
1104809078
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
136350 Issued in NY
Practice address
4401 Francis Lewis Blvd Ste L3B
Bayside, NY 11361-3028
Phone
(718) 224-5687
Fax
(718) 224-5746
NPI assigned
Nov 23, 2005
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 136350 NY Primary

Addresses

Primary practice location

4401 Francis Lewis Blvd Ste L3B
Bayside, NY 11361-3028

Mailing address

4401 Francis Lewis Blvd Ste L3B
Bayside, NY 11361-3028
Phone (718) 224-5687

Other practice location 1

4223 Francis Lewis Blvd
Suite 201
Bayside, NY 11361-2575
Phone (718) 224-5687

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000715 NY Practitioner - Internal Medicine 0840103909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2017 Accepting new patients
New York University General Practice CurrentSince Jul 1, 2017 Accepting new patients

Locations

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

Organizations & group practices 3

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1104809078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 FRANCIS LEWIS BLVD STE L3B",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613028",
            "telephone_number": "718-224-5687",
            "fax_number": "718-224-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FRANCIS LEWIS BLVD STE L3B",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613028",
            "telephone_number": "718-224-5687",
            "fax_number": "718-224-5746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4223 Francis Lewis Blvd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113612575",
            "country_code": "US",
            "telephone_number": "718-224-5687",
            "fax_number": "718-224-5746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMOGYI",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "136350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.