Active NPI
Sophia Marie Patrikis
- Audiologist
- Pomona, NY
National Provider Identifier
1386155372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002774
- Practice address
- 11 Medical Park Dr Ste 205
Pomona, NY 10970-3560 - Phone
- (845) 362-1350
- Fax
- (845) 362-1350
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002774 | NY | Primary |
Addresses
Primary practice location
11 Medical Park Dr Ste 205
Pomona, NY 10970-3560
Mailing address
7 James Dr
Nanuet, NY 10954-1908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180306002197 | NY | Practitioner - Qualified Audiologist | 7416218581 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Audiology PC | Current | Accepting new patients |
Locations
11 Medical Park Dr
Ste 205
Pomona, NY 10970
Phone (845) 362-1350
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Pomona, NY
- NPI 1841624517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1386155372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 JAMES DR",
"city": "NANUET",
"state": "NY",
"postal_code": "109541908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MEDICAL PARK DR STE 205",
"city": "POMONA",
"state": "NY",
"postal_code": "109703560",
"telephone_number": "845-362-1350",
"fax_number": "845-362-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRIKIS",
"first_name": "SOPHIA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.