Active NPI
Histogenetics LLC
- Clinical Medical Laboratory
- Ossining, NY
National Provider Identifier
1770978314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HISTOGENETICS LLC
- Practice address
- 300 Executive Blvd
Ossining, NY 10562-2562 - Phone
- (914) 762-0300
- Fax
- (914) 762-4441
- NPI assigned
- Mar 31, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cem Sonmez
- Title
- Ao
- Phone
- (914) 762-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
300 Executive Blvd
Ossining, NY 10562-2562
Mailing address
300 Executive Blvd
Ossining, NY 10562-2562
Phone (914) 762-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191114000017 | NY | Part B Supplier - Independent Clinical Laboratory | 4789016635 | Practice locations: Ossining, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0985173 | Histogenetics | Compliance | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
300 Executive Blvd
Ossining, NY 10562
Phone (914) 762-0300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Hematology & Oncology Physician
- Ossining, NY
- NPI 1154624278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572912000000",
"number": "1770978314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 EXECUTIVE BLVD",
"city": "OSSINING",
"state": "NY",
"postal_code": "105622562",
"telephone_number": "914-762-0300",
"fax_number": "914-762-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EXECUTIVE BLVD",
"city": "OSSINING",
"state": "NY",
"postal_code": "105622562",
"telephone_number": "914-762-0300",
"fax_number": "914-762-4441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HISTOGENETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-31",
"last_updated": "2019-11-05",
"status": "A",
"authorized_official_last_name": "SONMEZ",
"authorized_official_first_name": "CEM",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "914-762-0300"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ossining, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.