Active NPI
Nicole A. Solomos, D.O.
- Sports Medicine (Family Medicine) Physician
- Hawthorne, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 228375
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014375920001 | Medicaid | PA | |
| 02689196 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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 IncPtsma Inc
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228375 | NY | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Physician Services PC | Current | Accepting new patients | |
| Orthopaedic Specialty Group, P.C. | Orthopaedic Surgery | Current | 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.
-
- Orthopaedic Surgery Physician
- Fairfield, CT
- NPI 1558313767
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1124502687
-
- Durable Medical Equipment & Medical Supplies
- Shelton, CT
- NPI 1811815145
-
- Diagnostic Radiology Physician
- Fairfield, CT
- NPI 1114923893
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.