Organization Active NPI

Kings Highway Medical PC

  • Critical Care Registered Respiratory Therapist
  • Brooklyn, NY
National Provider Identifier
1861654352
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X
License
192569 Issued in NY
Legal business name
KINGS HIGHWAY MEDICAL PC
Practice address
2519 Avenue O
Brooklyn, NY 11210-5230
Phone
(718) 787-1900
Fax
(718) 382-5252
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Mr. Prabhat Soni, MDNPI 1154376499
Title
Owner
Phone
(718) 787-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Registered Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2279C0205X 192569 NY Primary

Addresses

Primary practice location

2519 Avenue O
Brooklyn, NY 11210-5230

Mailing address

2519 Avenue O
Brooklyn, NY 11210-5230
Phone (718) 787-1900

Other identifiers 1

IdentifierTypeStateIssuer
02236428MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090514000292 NY Part B Supplier - Clinic/Group Practice 5294884631 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Rockaway Park, NY; Jamaica, NY; Far Rockaway, NY; Long Beach, NY

National Provider Directory

National Provider Directory

Locations

2063 Bartow Ave
Ste A
Bronx, NY 10475
Phone (718) 379-8800

775 Flatbush Ave
Brooklyn, NY 11226
Phone (516) 470-0996

15323 Hillside Ave
Jamaica, NY 11432

Practitioners & affiliated clinicians

Practitioners 4

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": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1861654352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 AVENUE O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105230",
            "telephone_number": "718-787-1900",
            "fax_number": "718-975-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 AVENUE O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105230",
            "telephone_number": "718-787-1900",
            "fax_number": "718-382-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS HIGHWAY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "PRABHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-787-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "NY",
            "license": "192569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02236428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.