SONEY TINO SIRIPHONE O.D.
NPI 1053769141
Optometrist in Jamaica, NY

Q: What is Soney Siriphone's NPI number?

The NPI number for Soney Siriphone is 1053769141. It was assigned to this individual provider in the NPPES registry on May 30, 2016.

Q: What is Soney Siriphone's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Soney Siriphone was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2016PECOS Enrolled

9704 SUTPHIN BLVD, JAMAICA, NY 11435(718) 657-7088(718) 657-7092 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2019, Dec 6, 2018, Nov 30, 2018 and 2 more (5 updates tracked since 2018).

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About Soney Tino Siriphone O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONEY TINO SIRIPHONE O.D. (NPI 1053769141) is an individual optometrist in Jamaica, New York, licensed in New York (008459) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053769141

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameSONEY TINO SIRIPHONECredential: O.D.

Location Address9704 SUTPHIN BLVDJamaica, NY 11435-4721

Mailing Address60 Madison AveNew York, NY 10010-1600 · (212) 545-2400

Phone(718) 657-7088

Fax(718) 657-7092

Sole ProprietorNo

Enumeration DateMay 30, 2016

Last NPPES UpdateJanuary 9, 20195 updates tracked since enumeration

✔ NPI 1053769141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · 008459

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

9704 SUTPHIN BLVD, Jamaica, NY 11435

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soney Tino Siriphone O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Soney Siriphone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation

1.5 mi

General Acute Care Hospital

82-68 164TH ST
Jamaica, NY 11432

Reassigned Medicare billing, New York enrollment
1,615 clinicians in this Medicare group

NPI 1801803903 (718) 883-2929

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTHCARE NETWORK, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

9704 SUTPHIN BLVD
JAMAICA, NY 11435

Queens County (718) 657-7088

MRS. TAMARA VIKTORY PETROSYAN O.D.

Optometrist

9704 SUTPHIN BLVD
JAMAICA, NY 11435

Queens County (718) 657-7088

MAVIS REN RD

Dietitian, Registered

9704 SUTPHIN BLVD
JAMAICA, NY 11435

Queens County (718) 657-7088

JOSE ANDRES JOVEL M.D.

Psychiatry & Neurology (Psychiatry)

9704 SUTPHIN BLVD
JAMAICA, NY 11435

Queens County (718) 657-7088

DR. MARIE F. T. FRITZA FIEVRE GARNES MD

Pediatrics

9704 SUTPHIN BLVD
JAMAICA, NY 11435

Queens County (718) 657-7088

COMMUNITY HEALTHCARE NETWORK, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

9704 SUTPHIN BLVD
JAMAICA, NY 11435

Queens County (718) 657-7088

GRACE CHOW MD

Internal Medicine

9704 SUTPHIN BLVD, JAMAICA
JAMAICA, NY 11435

Queens County (718) 657-7088

SUSANN CORTES LCSW

Social Worker (Clinical)

9704 SUTPHIN BLVD
JAMAICA, NY 11435

Queens County (718) 657-7088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soney Siriphone's NPI number?

The NPI number for Soney Siriphone is 1053769141. It was assigned to this individual provider in the NPPES registry on May 30, 2016.

Where is Soney Siriphone located?

Soney Siriphone practices at 9704 Sutphin Blvd, Jamaica, NY 11435. The listed phone number is (718) 657-7088.

What is Soney Siriphone's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Soney Siriphone enrolled in Medicare?

Yes. Soney Siriphone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Soney Siriphone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soney Siriphone reassigns Medicare benefits to New York City Health And Hospitals Corporation (Jamaica, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soney Siriphone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soney Siriphone accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Soney Siriphone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soney Siriphone was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.