Southern New York Primary Care Services Ipa, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

153414 Issued in NY

Legal business name

SOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC

Practice address

1200 State Route 208
Monroe, NY 10950-4648

Phone

(888) 829-8550

Fax

(855) 418-9149

NPI assigned

Apr 3, 2015

Organization subpart

Yes

Parent organization

VAXCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Brett Kenefick

Title

President

Phone

(888) 829-8550

Specialties & licenses 1

Addresses

Part of

Vaxcare Corporation

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vaxcare LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1316058217

  Member Of

  NPD member

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1013302355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MAGNOLIA AVE STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033264",
            "telephone_number": "888-829-8550",
            "fax_number": "855-418-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE ROUTE 208",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504648",
            "telephone_number": "888-829-8550",
            "fax_number": "855-418-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAXCARE CORPORATION",
        "enumeration_date": "2015-04-03",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "KENEFICK",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-829-8550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "153414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olanrewaju Olayinka Somorin, MD
• Caitlin Sorrentino, OTR/L
• Stephanie Sosnowski, IBCLC, RLC
• Linnette Soto
• South Orange Gynecology PC
• Sparkle Licensed Behavior Analyst PC
• Janice Sue Spencer, OTR/L
• Lillian Serina Spencer, LCSW
• Shlomie Y Sperber
• Seth Stack

• Family Medicine Physician in Monroe, NY
• Providers in Monroe, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.