Organization Active NPI

Histogenetics LLC

  • Clinical Medical Laboratory
  • Ossining, NY
National Provider Identifier
1770978314
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Nov 5, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20191114000017 NY Part B Supplier - Independent Clinical Laboratory 4789016635 Practice locations: Ossining, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0985173Histogenetics300 Executive Blvd Ground Floor, Ossining, NY 10562ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.