Sophia Theodora Combest-Markotsis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004701-1 Issued in NY

Practice address

4277 Hempstead Tpke Ste 102
Bethpage, NY 11714-5706

Phone

(516) 731-5100

Fax

(516) 731-3758

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Bethpage OB/GYN, P.C.

  • Specialist
  • Bethpage, NY
  • NPI 1912236605
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1457514028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SNOWBALL DR",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117242417",
            "telephone_number": "516-731-5100",
            "fax_number": "516-731-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE STE 102",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145706",
            "telephone_number": "516-731-5100",
            "fax_number": "516-731-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBEST-MARKOTSIS",
        "first_name": "SOPHIA",
        "middle_name": "THEODORA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004701-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette A Cohen, MD
• Larry Jay Cohen, DDS
• Gary J Colantropo, M.D.
• Connie C Collura, DMD
• Christina Barbara Colon, LMHC
• Jennifer Elizabeth Conroy
• Constance M. Volpe, Msot,PC
• Brian James Cook, M.D.
• Marissa Cope
• Jaclyn C Cornell

• Physician Assistant in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.