Prominis Care Ipa, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROMINIS CARE IPA, LLC

Practice address

6451 Central Ave
Glendale, NY 11385-6258

Phone

(718) 669-7635

Fax

(607) 203-9585

NPI assigned

Jul 28, 2025

Organization subpart

No

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

Authorized official

Name

Andras Fenyves, MD

Title

Director

Phone

(718) 780-1001

Specialties & licenses 1

Addresses

Other names 1

• Starling IPA Doing business as

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1194608281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152806",
            "telephone_number": "718-669-7635",
            "fax_number": "607-203-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 CENTRAL AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856258",
            "telephone_number": "718-669-7635",
            "fax_number": "607-203-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINIS CARE IPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "FENYVES",
        "authorized_official_first_name": "ANDRAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-780-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starling IPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.