Active NPI
Complex RX LLC
- Case Manager/Care Coordinator
- Valley Stream, NY
National Provider Identifier
1023869351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- COMPLEX RX LLC
- Practice address
- 11 Sunrise Plaza
Store # 2
Valley Stream, NY 11580 - Phone
- (718) 612-5304
- NPI assigned
- Mar 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Katz
- Title
- Ceo
- Phone
- (718) 612-5304
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
11 Sunrise Plaza
Store # 2
Valley Stream, NY 11580
Mailing address
613 Euclid Ave
West Hempstead, NY 11552-3126
Phone (718) 612-5304
National Provider Directory
National Provider DirectoryLocations
11 Sunrise Plz
Ste 2
Valley Stream, NY 11580
Phone (718) 612-5304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1023869351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 EUCLID AVE",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115523126",
"telephone_number": "718-612-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SUNRISE PLAZA",
"address_2": "STORE # 2",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "11580",
"telephone_number": "718-612-5304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLEX RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-27",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "KATZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-612-5304",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.