Sonia Gracia, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

11 Juniper Ave
Ronkonkoma, NY 11779-5925

Phone

(631) 682-9154

NPI assigned

Jun 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Ocean Medical Group P.C.Group PAC ID 0143460634, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
• Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• North Ocean Medical Group P.C.

  • Internal Medicine Physician
  • Patchogue, NY
  • NPI 1477819001
  Medicare reassignment Care Compare group
• Patchogue Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Patchogue, NY
  • NPI 1457789778
  Medicare reassignment

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

• QC-Medi New York, Inc.

  • Home Health Agency
  • Hauppauge, NY
  • NPI 1376575977
  Care Compare affiliation Name & address match
• Tender Loving Care Health Care Services of Nassau Suffolk, LLC

  • Home Health Agency
  • Medford, NY
  • NPI 1699715961
  Care Compare affiliation

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1922675396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JUNIPER AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795925",
            "telephone_number": "631-682-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JUNIPER AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795925",
            "telephone_number": "631-682-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "SONIA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gonzalez
• Shanna Beth Gonzalez, LMSW
• Rachelle Gooden
• Michael S Gottlieb, F.N.P-BC(ANCC) M.S.N
• Marissa Elizabeth Gouskos, MS ED
• Kaitlin Graff
• Alyssa Mary Graziano
• Debra Ann Grimes, LMT
• Candice Grogan
• Amanda Grossman

• Physician Assistant in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.