Individual provider Active NPI

Sonia Evadne Walker-Adamson, D.O.

  • Family Medicine Physician
  • St. Albans, NY
National Provider Identifier
1184789778
Registry record updated Sep 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
197679 Issued in NY
Practice address
114 - 81 177 Place
St. Albans, NY 11434
Phone
(718) 658-6767
Fax
(718) 206-0861
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 197679 NY Primary

Addresses

Primary practice location

114 - 81 177 Place
St. Albans, NY 11434

Mailing address

PO Box 7114
Hicksville, NY 11802-7114

Other identifiers 4

IdentifierTypeStateIssuer
1306019765OtherNYHEALTH & WELLNESS FAMILY PRACTICE SERVICE PC NPI #
01580318MedicaidNY
01818OtherNYMEDICARE LEGACY #
1407029861OtherNYHEALTH CARE AND FAMILY MEDICINE PC NPI #

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
I20080416000294 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9830277847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11481 177TH PL
Jamaica, NY 11434-1405
Phone (718) 658-6767

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care and Family Medicine PC CurrentSince May 1, 2016 Accepting new patients
Child'S Play Physical Therapy PC PastSince Apr 15, 2023 Accepting new patients
Five Crest Medical Diagnostic P.C. PastSince Jan 1, 2017 Accepting new patients

Locations

11481 177th Pl
Jamaica, NY 11434
Phone (718) 658-6767

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474070400000",
    "number": "1184789778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7114",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118027114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 - 81 177 PLACE",
            "city": "ST. ALBANS",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "718-658-6767",
            "fax_number": "718-206-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-ADAMSON",
        "first_name": "SONIA",
        "middle_name": "EVADNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "197679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH & WELLNESS FAMILY PRACTICE SERVICE PC    NPI #",
            "identifier": "1306019765",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01580318",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY #",
            "identifier": "01818",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE AND FAMILY MEDICINE PC  NPI #",
            "identifier": "1407029861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Albans, NY

Sources for this page

Verify at the official NPI Registry.