SHANIQUE OMEALLY-SOTO NP
NPI 1912699877
Nurse Practitioner - Adult Health in Astoria, NY
About Shanique Omeally-soto Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANIQUE OMEALLY-SOTO NP (NPI 1912699877) is an individual adult health provider in Astoria, New York, licensed in New York (F310558) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Shanique Omeally-soto 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vassar Brothers Medical Center
Acute Care Hospitals · Poughkeepsie, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG ISLAND CITY, NY 11102
LONG ISLAND CITY, NY 11102
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 Shanique Omeally-soto's NPI number?
The NPI number for Shanique Omeally-soto is 1912699877. It was assigned to this individual provider in the NPPES registry on May 22, 2023.
Where is Shanique Omeally-soto located?
Shanique Omeally-soto practices at 25-10 30th Ave, Astoria, NY 11102. The listed phone number is (718) 932-1000.
What is Shanique Omeally-soto's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Shanique Omeally-soto enrolled in Medicare?
Yes. Shanique Omeally-soto 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 Shanique Omeally-soto affiliated with any hospitals?
According to CMS data, Shanique Omeally-soto is affiliated with Vassar Brothers Medical Center.
When was this NPI record last updated?
The NPPES record for Shanique Omeally-soto was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Shanique Omeally-Soto, NP · NPI 1912699877
Adult Health physician in Astoria, New York. Individual provider, active in the CMS NPPES registry since May 22, 2023.
## Identity
- **NPI:** 1912699877 (Entity type: Individual)
- **Enumerated:** May 22, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F310558 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 25-10 30TH AVE, Astoria, NY 11102-2448
- **Phone:** (718) 932-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912699877) · Data from the CMS NPPES public registry.