Individual provider Active NPI

Sonia S. Vathapally, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1841810934
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345494-01 Issued in NY
Practice address
1752 Park Ave
New York, NY 10035-2811
Phone
(646) 686-0000
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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 F345494-01 NY Primary

Addresses

Primary practice location

1752 Park Ave
New York, NY 10035-2811

Mailing address

180 Kamda Blvd
New Hyde Park, NY 11040-3119
Phone (516) 302-5443

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
I20201216003010 NY Practitioner - Nurse Practitioner 5395157226 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F345494-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Apr 6, 2025 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients

Locations

1752 Park Ave
New York, NY 10035
Phone (646) 686-0000

50 Water St
Fl 3
New York, NY 10004

900 Main St
Roosevelt Island, NY 10044
Phone (212) 848-6000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1841810934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 KAMDA BLVD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403119",
            "telephone_number": "516-302-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352811",
            "telephone_number": "646-686-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATHAPALLY",
        "first_name": "SONIA",
        "middle_name": "S.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345494-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.