Active NPI
Mary Teresa Somogyi, COTA
- Contractor
- Mount Vernon, NY
National Provider Identifier
1558813634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 0039111
- Practice address
- 625 S 4TH Ave
Mount Vernon, NY 10550-4919 - Phone
- (914) 483-9896
- NPI assigned
- Oct 25, 2016
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 0039111 | NY | Primary |
Addresses
Primary practice location
625 S 4TH Ave
Mount Vernon, NY 10550-4919
Mailing address
204 Parkside Drive
Suffern, USA 10901
UM
Phone (914) 483-9896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0039111 | Other | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0039111 | NY | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mario Pellegrino Pediatrics | Past | Accepting new patients |
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.
-
- Developmentally Disabled Services Day Training Agency
- Suffern, NY
- NPI 1952852055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1558813634",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "204 PARKSIDE DRIVE",
"city": "SUFFERN",
"state": "USA",
"postal_code": "10901",
"telephone_number": "914-483-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S 4TH AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105504919",
"telephone_number": "914-483-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMOGYI",
"first_name": "MARY",
"middle_name": "TERESA",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "0039111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "0039111",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.