Shanique Omeally-soto, NP - Medicare Nurse Practitioner in Astoria, NY

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Shanique Omeally-soto, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Astoria, New York. Her current practice location is 25-10 30th Ave, Astoria, New York. You can reach out to her office (for appointments etc.) via phone at (718) 932-1000.

Shanique Omeally-soto is licensed to practice in New York (license number F310558) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912699877.

Contact Information

Shanique Omeally-soto, NP
25-10 30th Ave,
Astoria, NY 11102-2448
(718) 932-1000
Not Available

Map and Direction




Provider's Profile

Full NameShanique Omeally-soto
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location25-10 30th Ave, Astoria, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912699877
  • Provider Enumeration Date: 05/22/2023
  • Last Update Date: 04/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264896968
  • Enrollment ID: I20230914000104

Medical Identifiers

Medical identifiers for Shanique Omeally-soto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912699877NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F310558 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shanique Omeally-soto allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497029581
PECOS PAC ID: 2264691070
Enrollment ID: O20120731000708

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanique Omeally-soto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shanique Omeally-soto, NP
3470 Fort Independence St Apt 5d,
Bronx, NY 10463-4593

Ph: (917) 470-4678		Shanique Omeally-soto, NP
25-10 30th Ave,
Astoria, NY 11102-2448

Ph: (718) 932-1000

Reviews and Comments


Nurse Practitioner Nurses in Astoria, NY

Laurita Hidalgo, ACNP-BC
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Audrey Duffy, FNP
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Practice Location: 2710 30th Ave, #la, Astoria, NY 11102
Phone: 718-932-9870    Fax: 718-932-9878
Ms. Dianne Edwina Cavanaugh, NP
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Practice Location: 2510 30th Ave, Mount Sinai Hospital Queens, Astoria, NY 11102
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John O' Leary, NP
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Practice Location: 4904 19th Ave, Astoria, NY 11105
Phone: 718-777-3494    
Kerstin Connaire, NP
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Practice Location: 2510 30th Ave, Astoria, NY 11102
Phone: 718-932-1000    
Dafina Naydenova, NP
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Medicare: Medicare Enrolled
Practice Location: 2180 33rd Rd Apt 7c, Astoria, NY 11106
Phone: 917-400-8466    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.