Integrated Ny Medical Care, Pllc is a medicare enrolled "Internal Medicine - Nephrology" provider in New York, New York. Their current practice location is
401 Park Ave S Ofc 915, New York, New York. You can reach out to their office (for appointments etc.) via phone at
(347) 252-9771.
Integrated Ny Medical Care, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Integrated Ny Medical Care, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1235759234.
Healthcare Provider's Profile
| Full Name | Integrated Ny Medical Care, Pllc |
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| Type | Facility |
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| Speciality | Internal Medicine - Nephrology |
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| Location | 401 Park Ave S Ofc 915, New York, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235759234
- Provider Enumeration Date: 04/20/2020
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375960610
- Enrollment ID: O20200901001021
Medical Identifiers
Medical identifiers for Integrated Ny Medical Care, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235759234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (* (Not Available)) | Secondary |
| 163WC0400X | Registered Nurse - Case Management | (* (Not Available)) | Secondary |
| 163WN0300X | Registered Nurse - Nephrology | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Integrated Ny Medical Care, Pllc acts as a billing entity for following providers:
| Provider Name | Julianna Candela |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1063848026
PECOS PAC ID: 5799081881
Enrollment ID: I20160316000918 |
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| Provider Name | Haley D Justus |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1861896672
PECOS PAC ID: 9638565633
Enrollment ID: I20220330002405 |
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| Provider Name | Suyon Yim |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1922564749
PECOS PAC ID: 3476886896
Enrollment ID: I20220502001350 |
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| Provider Name | Matthew Kerr |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1659029585
PECOS PAC ID: 3476930371
Enrollment ID: I20220517002076 |
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| Provider Name | Jessica L Dollar |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1578208575
PECOS PAC ID: 3577940980
Enrollment ID: I20220602001030 |
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| Provider Name | Tracy Rozansky |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1194487892
PECOS PAC ID: 6901288711
Enrollment ID: I20220726002539 |
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| Provider Name | Arielle Ferdinand |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1700312899
PECOS PAC ID: 5799026100
Enrollment ID: I20231107002137 |
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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. Integrated Ny Medical Care, Pllc 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 Address | Practice Location Address |
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Integrated Ny Medical Care, Pllc
1600 Stout St Ste 2000, Attn Strive Health Credentialing Team,
Denver, CO 80202-3113
Ph: (980) 443-4852 | Integrated Ny Medical Care, Pllc
401 Park Ave S Ofc 915,
New York, NY 10016-8808
Ph: (347) 252-9771 |
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