Individual provider Active NPI

Sophia Louis

  • Family Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1831566561
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338167 Issued in NY
Practice address
260 W. Sunrise Hwy, Ste. 200
Valley Stream, NY 11581
Phone
(516) 825-3600
Fax
(516) 872-5137
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338167 NY Primary

Addresses

Primary practice location

260 W. Sunrise Hwy, Ste. 200
Valley Stream, NY 11581

Mailing address

55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888

Other practice location 1

22 Barbara St
Elmont, NY 11003-3604
Phone (917) 806-7626

Other practice location 2

22 Barbara St
Elmont, NY 11003-3604
Phone (917) 806-7626

Other practice location 3

350 South Broadway
Hicksville, NY 11801-5006
Phone (516) 938-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520001118 NY Practitioner - Nurse Practitioner 8426355850 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F338167NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Josef Schenker MD PC CurrentSince Mar 22, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 16, 2018 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 16, 2018 Accepting new patients
Hospitalist Healthcare Services PLLC Past Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

14015 Sanford Ave
Flushing, NY 11355
Phone (718) 670-6400

350 S Broadway
Hicksville, NY 11801
Phone (516) 733-8085

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

55 Water St
Fl 2
New York, NY 10041

260 W Sunrise Hwy
Ste 200
Valley Stream, NY 11581
Phone (516) 825-3600

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 4

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": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1831566561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W. SUNRISE HWY, STE. 200",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "516-825-3600",
            "fax_number": "516-872-5137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Barbara St",
            "address_purpose": "LOCATION",
            "city": "Elmont",
            "state": "NY",
            "postal_code": "110033604",
            "country_code": "US",
            "telephone_number": "917-806-7626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Barbara St",
            "address_purpose": "LOCATION",
            "city": "Elmont",
            "state": "NY",
            "postal_code": "110033604",
            "country_code": "US",
            "telephone_number": "917-806-7626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 South Broadway",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118015006",
            "country_code": "US",
            "telephone_number": "516-938-0100",
            "fax_number": "516-938-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.