Prine Health Ipa, LLC.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PRINE HEALTH IPA, LLC.

Practice address

1129 Northern Blvd Ste 101
Manhasset, NY 11030-3022

Phone

(516) 548-8192

NPI assigned

Jun 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristin Merlo

Title

Provider Relations

Phone

(516) 548-8192

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1003485202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 OLD COUNTRY RD STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301702",
            "telephone_number": "516-548-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD STE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303022",
            "telephone_number": "516-548-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINE HEALTH IPA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "MERLO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "516-548-8192"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HEALTHIX",
            "affiliation": "Y",
            "endpointDescription": "HIE",
            "affiliationName": "PRINE Health Medical Group, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1129 Northern Blvd Ste 101",
            "city": "Manhasset",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110303022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Precision Orthopaedics, P.C.
• Precision Surgery of New York PC
• Lisa Caroline Predmore, AU.D.
• Courtney Marie Prezioso, MPT
• Simon Elliot Prince, D.O.
• Prine Health Medical Group, PLLC
• Prine Health Medical Group, PLLC
• Lomy Prinston, CRNA
• Jordan G Pritzker, MD
• Rusmat Priyam, MD

• Nephrology Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.