Individual provider Active NPI

Sophia Larisa Mohuchy, DC

  • Chiropractor
  • Elmont, NY
National Provider Identifier
1215201165
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009473 Issued in NY
Practice address
1975 Linden Blvd Ste 207
Elmont, NY 11003-4004
Phone
(516) 285-7605
Fax
(516) 285-7609
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009473 NY Primary

Addresses

Primary practice location

1975 Linden Blvd Ste 207
Elmont, NY 11003-4004

Mailing address

1975 Linden Blvd Ste 207
Elmont, NY 11003-4004
Phone (516) 285-7605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X009473NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1215201165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 LINDEN BLVD STE 207",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034004",
            "telephone_number": "516-285-7605",
            "fax_number": "516-285-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LINDEN BLVD STE 207",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034004",
            "telephone_number": "516-285-7605",
            "fax_number": "516-285-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHUCHY",
        "first_name": "SOPHIA",
        "middle_name": "LARISA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.