Intrepid of New York Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1067L001 Issued in NY

Legal business name

INTREPID OF NEW YORK INC

Practice address

3939 Merrick Rd
FL2
Seaford, NY 11783-2823

Phone

(516) 781-7777

Fax

(516) 781-3252

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Paul D Foster

Title

Ceo

Phone

(214) 445-3750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Intrepid USA Healthcare Services Doing business as

Tax ID family

Intrepid of New York Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Intrepid of New York Inc

  • Home Health Agency
  • Rochester, NY
  • NPI 1306828983
  NPD tax ID
• Intrepid of New York Inc

  • Home Health Agency
  • Queens Village, NY
  • NPI 1629050208
  NPD tax ID

Locations

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1235112574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN",
            "address_2": "5TH FLOOR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074",
            "telephone_number": "214-445-3750",
            "fax_number": "214-445-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 MERRICK RD",
            "address_2": "FL2",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832823",
            "telephone_number": "516-781-7777",
            "fax_number": "516-781-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPID OF NEW YORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-445-3750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1067L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02517095",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intrepid USA Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael R Hutzel, DPM
• Samantha Igneri
• Alison B Imparato, RD
• In Your Corner Early Intervention Services LLC
• Integrated Medical Professionals PLLC
• Intuitive Wellness Creative Arts
• Julie Rose Jacobs
• Nicole Melissa Jean, LCSW
• Noreen E Jeranek, LPN
• Rebecca Jestic, FNP

• Home Health Agency in Seaford, NY
• Providers in Seaford, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.