SOVEREIGN PHOENIX (NPI# 1871909093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871909093 |
| Entity Type | Organization |
| Organization Name | SOVEREIGN PHOENIX |
| Practice Address |
15 Cuttermill Rd Great Neck NY 11021-3252 |
| Practice Telephone | 5163030967 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |
| Authorized Official Name | TYRONE BARNETT (OWNER) |
| Authorized Official Telephone | 5163030967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SOVEREIGN PHOENIX IPA, LLC | 15 Cuttermill Road, Great Neck, Ny 11021 |
| System for Award Management (SAM) Entities | SOVEREIGN PHOENIX, IPA | 31 South St, 3s8, Mount Vernon, NY 10550 |
| Street Address |
15 CUTTERMILL RD |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801847801 | Horizon Anesthesia PC | Anesthesiology | 15 Cuttermill Rd, Suite # 232, Great Neck, NY 11021-3252 | 2006-05-14 |
| 1295968972 | Janet S. Randall | Psychiatry & Neurology | 15 Cuttermill Rd, Suite 262, Great Neck, NY 11021-3252 | 2009-08-28 |
| 1508030255 | Apollo Anesthesia, PC | Anesthesiology | 15 Cuttermill Rd, Suite # 232, Great Neck, NY 11021-3252 | 2008-04-14 |
| 1497968895 | Lifeguard Medical Pllc | Anesthesiology | 15 Cuttermill Rd, Suite # 232, Great Neck, NY 11021-3252 | 2007-05-08 |
| 1407891211 | Vasant Chheda | Anesthesiology | 15 Cuttermill Rd, Suite # 232, Great Neck, NY 11021-3252 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396007654 | Randi Lynn Melzer | Contractor | 10 Wyngate Pl, Great Neck, NY 11021-2521 | 2012-06-13 |
| 1053542589 | June Feigenblatt | Contractor | 71 Piccadilly Rd, Great Neck, NY 11023-1548 | 2009-07-31 |
| 1871639815 | Christina Holiday Ng | Contractor | 35 Knightsbridge Rd, Apt. 1h, Great Neck, NY 11021-4540 | 2007-01-29 |
| 1366889016 | Randi Melzer Consulting Services Ltd. | Contractor | 10 Wyngate Pl, Great Neck, NY 11021-2521 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022455 | Michael Charles Findlay | Contractor | 9509 32nd Ave Fl 1, East Elmhurst, NY 11369-1849 | 2020-10-27 |
| 1659971869 | Stephanie Rosario | Contractor | 1184 Evergreen Ave Apt 6d, Bronx, NY 10472-3235 | 2020-10-27 |
| 1306443791 | Julie Ann Hall | Contractor | 2326 Valley View Dr, Allegany, NY 14706-9669 | 2020-10-08 |
| 1104431618 | Elizabeth Anne Oakes-lani | Contractor | 5 Motts Ln, Glenwood Landing, NY 11547-3015 | 2020-09-11 |
| 1295357598 | Scale Rcm | Contractor | 251 Mountainview Ave Ste 7, Nyack, NY 10960-1700 | 2020-05-11 |
| 1972124758 | Christopher Boston | Contractor | 24917 148th Rd, Rosedale, NY 11422-2711 | 2020-05-03 |
| 1700407004 | Ethel M Webb | Contractor | 495 Attridge Road, 2, Churchville, NY 14428-1462 | 2020-04-28 |
| 1063046845 | Valerie Kaufman | Contractor | 3611 Henry Hudson Pkwy Apt 5b, Bronx, NY 10463-1554 | 2020-03-02 |
| 1033742671 | Rochester Flooring Kitchen & Bath Inc. | Contractor | 360 Jefferson Rd, Rochester, NY 14623-2644 | 2020-02-21 |
| 1881239317 | Whitney L Coventry | Contractor | 26 Greenwood Dr, Orchard Park, NY 14127-3913 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on SOVEREIGN PHOENIX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.