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ETHELYN SO NP
NPI 1841626579
Nurse Practitioner - Acute Care in New Hyde Park, NY

Active since September 26, 2013PECOS EnrolledAccepts Medicare Assignment
270-05 76TH AVENUE, NEW HYDE PARK, NY 11040(718) 470-5370 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 19, 2019, Feb 14, 2017, Sep 20, 2016 (3 updates tracked since 2016).

About Ethelyn So Np NPPES

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

ETHELYN SO NP (NPI 1841626579) is an individual acute care provider in New Hyde Park, New York, licensed in New York (F430738-1) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1841626579
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameETHELYN SOCredential: NP
Location Address270-05 76TH AVENUENew Hyde Park, NY 11040
Mailing Address270-05 76th AvenueNew Hyde Park, NY 11040
Phone(718) 470-5370
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 26, 2013
Last NPPES UpdateJune 19, 20193 updates tracked since enumeration
✔ NPI 1841626579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · F430738-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 585086-1 (NY)
270-05 76TH AVENUE, New Hyde Park, NY 11040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethelyn So Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234442096
PECOS Enrollment IDI20150722005244
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
324 services110 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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 20

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

OLIVER STANDRING
Student in an Organized Health Care Education/Training Program
270-05 76TH AVENUE, VICTORIA WRATHE, RESEARCH BUILDING- C LEVEL ROOM 039AB
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
ROBERT SILVERMAN
Emergency Medicine
270-05 76TH AVENUE, LIJMC-EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7501
SHINEY ABRAHAM
Pharmacist
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7400
DR. JESSICA ANN GIACINTO
Hospitalist
270-05 76TH AVENUE, 3RD FLOOR, RESEARCH BUILDING, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-3116
MR. KENNETH MICHAEL PFEIFER PA
Physician Assistant
270-05 76TH AVENUE, ANESTHESIA DEPARTMENT
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7390
KASON WAN PA
Physician Assistant
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
SHAFAATUL CHOWDHURY
Pharmacist
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (516) 470-7000
MRS. TAMARA KAREN DIAZ PA
Physician Assistant
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7330

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 Ethelyn So's NPI number?

The NPI number for Ethelyn So is 1841626579. It was assigned to this individual provider in the NPPES registry on September 26, 2013.

Where is Ethelyn So located?

Ethelyn So practices at 270-05 76th Avenue, New Hyde Park, NY 11040. The listed phone number is (718) 470-5370.

What is Ethelyn So's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ethelyn So enrolled in Medicare?

Yes. Ethelyn So is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ethelyn So affiliated with any hospitals?

According to CMS data, Ethelyn So is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Ethelyn So was last updated on June 19, 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.