Ony Care of Ny IV, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ONY CARE OF NY IV, LLC

Practice address

1131 Route 55 Ste 1B
Lagrangeville, NY 12540-5054

Phone

(615) 386-0064

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Edward Leland Hutton Eadie

Title

Director

Phone

(615) 733-2064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1194287334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052216",
            "telephone_number": "615-386-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 ROUTE 55 STE 1B",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405054",
            "telephone_number": "615-386-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONY CARE OF NY IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "EADIE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LELAND HUTTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-733-2064"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuvance Health Medical Practice, PC
• Kimberly A O'Connor, LCSW
• Michelle Grace O'Hare Hogan, MS ED
• Olivia Medicine PC
• Ony Care of Ny II, LLC
• Ony Care of Ny, LLC
• Rafael Ortiz
• Beatrice Ortsin
• Wilkie S Paes, DDS
• Tarren Pagones, LCAT, LPC, LMHC

• Orthopaedic Surgery Physician in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.