Organization Active NPI

Sergio Sokol M.D.,F.a.C.C.,P.C.

  • Specialist
  • Cedarhurst, NY
National Provider Identifier
1912953399
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
205875 Issued in NY
Legal business name
SERGIO SOKOL M.D.,F.A.C.C.,P.C.
Practice address
650 Central Ave Ste M
Cedarhurst, NY 11516-2301
Phone
(516) 804-8590
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Dr. Sergio Sokol, M.D., F.A.C.CNPI 1356398713
Title
Cardiologist
Phone
(917) 741-8599

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 205875 NY Primary

Addresses

Primary practice location

650 Central Ave Ste M
Cedarhurst, NY 11516-2301

Mailing address

35 Thixton Dr
Hewlett, NY 11557-2631
Phone (917) 741-8599

Other identifiers 7

IdentifierTypeStateIssuer
1169513OtherNYAETNA HMO
2589396OtherNYGHI PPO
677P71OtherNYEMPIRE BCBS
7819289OtherNYAETNA PPO
010065003OtherNYAMERICHOICE
P3654963OtherNYOXFORD
4889089OtherNYCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090223000081 NY Part B Supplier - Clinic/Group Practice 9436166386 Receives reassigned benefits from 1 practitioner
Practice locations: Cedarhurst, NY; Astoria, NY

National Provider Directory

National Provider Directory

Locations

3012 36th St
Astoria, NY 11103
Phone (718) 956-1100

650 Central Ave
Ste M
Cedarhurst, NY 11516

4160 Main St
Ste 201C
Flushing, NY 11355
Phone (718) 865-8648

13319 41st Rd
#1
Flushing, NY 11355
Phone (718) 321-7290

2 Main St
Hempstead, NY 11550
Phone (516) 379-1495

1000 Park Blvd
Rear Anx
Massapequa Pk, NY 11762
Phone (516) 795-8446

Practitioners & affiliated clinicians

Practitioners 9

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1912953399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 THIXTON DR",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572631",
            "telephone_number": "917-741-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CENTRAL AVE STE M",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162301",
            "telephone_number": "516-804-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO SOKOL M.D.,F.A.C.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "SOKOL",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "917-741-8599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "205875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1169513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "2589396",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "677P71",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7819289",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010065003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3654963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4889089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.