Individual provider Active NPI

Katie-Leigh Sovak

  • Specialist
  • Pearl River, NY
National Provider Identifier
1760932149
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
64009098 Issued in NY
Practice address
664 Orangeburg Rd
Pearl River, NY 10965-2830
Phone
(845) 735-3066
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 64009098 NY Primary

Addresses

Primary practice location

664 Orangeburg Rd
Pearl River, NY 10965-2830

Mailing address

664 Orangeburg Rd
Pearl River, NY 10965-2830

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

LicenseStateTypeSpecialty
64009098NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
A Starting Place 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.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1760932149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 ORANGEBURG RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 ORANGEBURG RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652830",
            "telephone_number": "845-735-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVAK",
        "first_name": "KATIE-LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "64009098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.