Active NPI
Stephanie Soberanis Pikul, NP
- Family Nurse Practitioner
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 350595
- Practice address
- 560 Northern Blvd
Great Neck, NY 11021-5118 - Phone
- (516) 487-6200
- NPI assigned
- Oct 28, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 350595 | NY | Primary |
Addresses
Primary practice location
560 Northern Blvd
Great Neck, NY 11021-5118
Mailing address
115 7TH Ave
Holtsville, NY 11742-2386
Phone (347) 218-0116
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Main St
Suite 116
Babylon, NY 11702-3032
Phone (631) 422-6166
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.52 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Pain Consultants LLC | Current | Accepting new patients | |
| New York Pain Consultants LLC | Current | Accepting new patients | |
| New York Pain Consultants, LLC | Past | Accepting new patients |
Locations
100 W Main St
Ste C
Babylon, NY 11702
Phone (631) 206-1034
500 W Main St
Ste 116
Babylon, NY 11702
8 Saxon Ave
Ste E
Bay Shore, NY 11706
Phone (631) 206-1034
8 Saxon Ave
Bay Shore, NY 11706
Phone (631) 206-2989
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Babylon, NY
- NPI 1639190630
-
- Interventional Pain Medicine Physician
- Harrison, NY
- NPI 1528617917
-
- Interventional Pain Medicine Physician
- Bay Shore, NY
- NPI 1437556040
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1396452462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 7TH AVE",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117422386",
"telephone_number": "347-218-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215118",
"telephone_number": "516-487-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKUL",
"first_name": "STEPHANIE",
"middle_name": "SOBERANIS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-28",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "350595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.