Individual provider Active NPI

Sonia Hernandez Caruso, DO

  • Ophthalmology Physician
  • Johnstown, NY
National Provider Identifier
1902188873
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
251522 Issued in NY
Practice address
229 Hales Mills Rd
Johnstown, NY 12095-3743
Phone
(214) 471-3597
NPI assigned
Sep 15, 2011
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A-1699-12 NM
Ophthalmology Physician 207W00000X 251522 NY Primary
General Practice Physician 208D00000X A-1699-12 NM
General Practice Physician 208D00000X 251522 NY

Addresses

Primary practice location

229 Hales Mills Rd
Johnstown, NY 12095-3743

Mailing address

229 Hales Mills Rd
Johnstown, NY 12095-3743
Phone (214) 471-3597

Other names 1

  • Dr. Sonia Hernandez Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330000163 NY Practitioner - OphthalmologyPractitioner - Osteopathic Manipulative Medicine 8426221391 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
A-1699-12NMMDOphthalmology Physician
251522NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caruso Eye and Retina Consultants L.L.C. Ophthalmology CurrentSince Aug 8, 2021 Accepting new patients
Brookview Medical Associates, PLLC General Practice CurrentSince Sep 1, 2022 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1902188873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 HALES MILLS RD",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953743",
            "telephone_number": "214-471-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 HALES MILLS RD",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953743",
            "telephone_number": "214-471-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CARUSO",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "A-1699-12",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "251522",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "A-1699-12",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "251522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "HERNANDEZ",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnstown, NY

Sources for this page

Verify at the official NPI Registry.