Active NPI
Lucia A Santoro, PA C
- Physician Assistant
- Ozone Park, NY
National Provider Identifier
1730349408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002439
- Practice address
- 9540 102ND St
Ozone Park, NY 11416-1712 - Phone
- (718) 845-6948
- Fax
- (718) 845-0503
- NPI assigned
- Jun 16, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002439 | NY | Primary |
Addresses
Primary practice location
9540 102ND St
Ozone Park, NY 11416-1712
Mailing address
9540 102ND St
Ozone Park, NY 11416-1712
Phone (718) 845-6948
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002439 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1730349408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9540 102ND ST",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114161712",
"telephone_number": "718-845-6948",
"fax_number": "718-845-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9540 102ND ST",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114161712",
"telephone_number": "718-845-6948",
"fax_number": "718-845-0503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORO",
"first_name": "LUCIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.