Paola Spicer Soto, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

030637 Issued in NY

Practice address

23 S Howell Ave Ste O&P
Centereach, NY 11720-4445

Phone

(631) 446-1436

NPI assigned

Nov 28, 2021

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atul N. Shah, MD, PC

  dba Center for Asthma & Allergy

  • Medical Specialty Clinic/Center
  • Shirley, NY
  • NPI 1518126788
  Medicare reassignment

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1861159790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S HOWELL AVE STE O&P",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204445",
            "telephone_number": "631-446-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S HOWELL AVE STE O&P",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204445",
            "telephone_number": "631-446-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER SOTO",
        "first_name": "PAOLA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Spagnoli
• Peter Spagnoli, PT
• Robert Spagnoli, P.T.
• Susan Spagnoli, PT
• Special Lives, Inc.
• Lisa Spinosa
• Eric R.B. Spronz, RN CASAC NPP
• St Tereiza Off of Phy Ter PC
• St. Charles Hospital and Rehab. Pharmacy
• St. Charles Hospital and Rehabilitation Center

• Physician Assistant in Centereach, NY
• Providers in Centereach, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.