Nyces Endoscopy Surgicare-PC

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

177953-2 Issued in NY

Legal business name

NYCES ENDOSCOPY SURGICARE-PC

Doing business as

OMNICARE PLUS

Practice address

154 W 127TH St
New York, NY 10027-3739

Phone

(718) 433-0044

Fax

(718) 433-4644

NPI assigned

Mar 13, 2015

Organization subpart

Yes

Parent organization

OMNICARE PLUSAs reported in NPPES

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

Authorized official

Name

Dr. Evans Crevecoeur, M.D

Title

Physician/Ceo

Phone

(718) 433-0044

Specialties & licenses 1

Addresses

Other names 1

• OMNICARE PLUS Doing business as

Part of

Omnicare Plus PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Omnicare Plus, PC

  • Specialist
  • Rosedale, NY
  • NPI 1205067436
  NPPES parent name

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1023401163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30037",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110030037",
            "telephone_number": "718-433-0044",
            "fax_number": "718-433-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W 127TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273739",
            "telephone_number": "718-433-0044",
            "fax_number": "718-433-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCES ENDOSCOPY SURGICARE-PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNICARE PLUS",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "CREVECOEUR",
        "authorized_official_first_name": "EVANS",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "718-433-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NY",
            "license": "177953-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNICARE PLUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nycdohmh Bur Matern Connect Fac
• Nycdohmh Bureau of Public Health Labs
• Nycdohmh CN Harlem Connect CMCM
• Nycdohmh East Harlem DHC
• Nycdohmh-Board of Ed
• Nychhc
• Nyco Drugs, Inc
• Nyconn Orthopaedic & Rehabilitation Specialists, PLLC
• Nyconn Orthopaedic & Rehabillitation Specialists, PLLC
• Nycplasticsurg PLLC

• Ph.D. Medical Genetics in New York, NY
• Providers in New York, NY by specialty
• Ph.D. Medical Genetics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.