Individual provider Active NPI

Nicole A. Solomos, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Hawthorne, NY
National Provider Identifier
1922073410
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
228375 Issued in NY
Practice address
24 Saw Mill River Rd
Sutie 206
Hawthorne, NY 10532-1541
Phone
(914) 631-7777
Fax
(914) 631-0920
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 228375 NY Primary

Addresses

Primary practice location

24 Saw Mill River Rd
Sutie 206
Hawthorne, NY 10532-1541

Mailing address

24 Saw Mill River Rd
Sutie 206
Hawthorne, NY 10532-1541
Phone (914) 631-7777

Other identifiers 2

IdentifierTypeStateIssuer
1014375920001MedicaidPA
02689196MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051004000529 NY Practitioner - Family Practice 4688609191 Reassigns benefits to 1 organization
I20250205000625 CT Practitioner - Family PracticePractitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4688609191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Orthopedic Surgery, Sports Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians
Orthopaedic Specialty Group PCGroup PAC ID 8820037898, 61 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

222 Post Rd
Fairfield, CT 06824-6245
Phone (203) 255-8888

305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone (203) 337-2600

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228375NYMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Mar 28, 2023 Accepting new patients
Orthopaedic Specialty Group, P.C. Orthopaedic Surgery CurrentSince Apr 1, 2025 Accepting new patients
Orthopaedic Specialty Group, P.C. Past Accepting new patients
Orthoconnecticut, PLLC Past Accepting new patients

Locations

305 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 337-2600

321 Boston Post Rd
Milford, CT 06460
Phone (203) 337-2600

731 Main St
Monroe, CT 06468
Phone (203) 261-7090

762 River Rd
Shelton, CT 06484

760 River Rd
Shelton, CT 06484
Phone (203) 337-2600

2909 Main St
Stratford, CT 06614
Phone (203) 377-5108

24 Saw Mill River Rd
Ste 206
Hawthorne, NY 10532
Phone (914) 631-0920

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1922073410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SAW MILL RIVER RD",
            "address_2": "SUTIE 206",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321541",
            "telephone_number": "914-631-7777",
            "fax_number": "914-631-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SAW MILL RIVER RD",
            "address_2": "SUTIE 206",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321541",
            "telephone_number": "914-631-7777",
            "fax_number": "914-631-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMOS",
        "first_name": "NICOLE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "228375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014375920001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02689196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.