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SOVEREIGN PHOENIX
NPI 1871909093
Contractor in Great Neck, NY

Active since July 08, 2014
15 CUTTERMILL RD, GREAT NECK, NY 11021(516) 303-0967 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sovereign Phoenix NPPES

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

SOVEREIGN PHOENIX (NPI 1871909093) is a healthcare organization registered as a contractor in Great Neck, New York and active in the NPI registry since July 2014. The organization lists Tyrone Barnett, Owner, as its authorized official.

NPPES Registry Identity

NPI1871909093
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameSOVEREIGN PHOENIX
Location Address15 CUTTERMILL RDGreat Neck, NY 11021-3252
Mailing Address15 Cuttermill RdGreat Neck, NY 11021-3252
Phone(516) 303-0967
Organization SubpartNo
Authorized OfficialTyrone BarnettOwner · (516) 303-0967
Enumeration DateJuly 8, 2014
✔ NPI 1871909093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
15 CUTTERMILL RD, Great Neck, NY 11021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

VASANT CHHEDA M.D.
Anesthesiology
15 CUTTERMILL RD, SUITE # 232
GREAT NECK, NY 11021
Nassau County (516) 829-4522
LIFEGUARD MEDICAL PLLC
Anesthesiology
15 CUTTERMILL RD, SUITE # 232
GREAT NECK, NY 11021
Nassau County (516) 829-4522
APOLLO ANESTHESIA, PC
Anesthesiology
15 CUTTERMILL RD, SUITE # 232
GREAT NECK, NY 11021
Nassau County (516) 829-4522
HORIZON ANESTHESIA PC
Anesthesiology
15 CUTTERMILL RD, SUITE # 232
GREAT NECK, NY 11021
Nassau County (516) 829-4522

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 Sovereign Phoenix's NPI number?

The NPI number for Sovereign Phoenix is 1871909093. It was assigned to this organization in the NPPES registry on July 8, 2014.

Where is Sovereign Phoenix located?

Sovereign Phoenix is located at 15 Cuttermill Rd, Great Neck, NY 11021. The listed phone number is (516) 303-0967.

What is Sovereign Phoenix's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Sovereign Phoenix was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.