Individual provider Active NPI

Sofya Sigalov, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1174071401
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023482 Issued in NY
Practice address
555 Laguardia PL Lowr Level
New York, NY 10012-1402
Phone
(212) 460-5622
Fax
(212) 533-8850
NPI assigned
Sep 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00733300 NJ
Physician Assistant 363A00000X PA9114661 FL
Physician Assistant 363A00000X TMA053097 PA
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 023482 NY Primary

Addresses

Primary practice location

555 Laguardia PL Lowr Level
New York, NY 10012-1402

Mailing address

555 Laguardia PL Lowr Level
New York, NY 10012-1402
Phone (212) 460-5622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170103000335 PA Practitioner - Physician Assistant 3779864913 Reassigns benefits to 1 organization
I20200417001302 NY Practitioner - Physician Assistant 3779864913 Reassigns benefits to 2 organizations
I20210908002582 FL Practitioner - Physician Assistant 3779864913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

186 Joralemon St
Brooklyn, NY 11201-4356
Phone (212) 263-7300

55 E 34TH St
New York, NY 10016-4337
Phone (212) 252-6131

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00733300NJMDPhysician Assistant
TMA053097PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Apr 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 12, 2016 Accepting new patients
New York University Single Specialty CurrentSince Dec 8, 2025 Accepting new patients
University of Pittsburgh Physicians Single Specialty CurrentSince Oct 12, 2016 Accepting new patients
New York University CurrentSince Dec 8, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

150 E 42nd St
Fl 10A283
New York, NY 10017

200 W 57th St
Fl 15
New York, NY 10019
Phone (212) 247-8100

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

226 W 14th St
New York, NY 10011
Phone (212) 420-2882

555 Laguardia Pl
New York, NY 10012
Phone (212) 263-2446

555 Laguardia Pl
Lowr
New York, NY 10012
Phone (212) 460-5622

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

9100 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 367-5589

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1174071401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 LAGUARDIA PL LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121402",
            "telephone_number": "212-460-5622",
            "fax_number": "212-533-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LAGUARDIA PL LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121402",
            "telephone_number": "212-460-5622",
            "fax_number": "212-533-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGALOV",
        "first_name": "SOFYA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00733300",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114661",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "TMA053097",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.