QC - Medi New York, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

QC - MEDI NEW YORK, INC.

Practice address

185 Old Country Rd Ste 3
Riverhead, NY 11901-2121

Phone

(631) 727-5353

NPI assigned

May 19, 2010

Organization subpart

Yes

Parent organization

QC - MEDI NEW YORK, INC.As reported in NPPES

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

Authorized official

Name

John Nichols

Title

Authorized Signatory

Phone

(631) 727-5353

Specialties & licenses 1

Addresses

Other names 1

• CenterWell Home Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

QC-Medi New York Inc

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duane Bronson, RN

  • Registered Nurse
  • Binghamton, NY
  • NPI 1962714360
  NPD (past)
• Julie D Carlson, R.N.

  • Home Health Registered Nurse
  • Auburn, NY
  • NPI 1205157377
  NPD (past)
• Joseph Anthony Fischetti Jr., PHD

  • Clinical Psychologist
  • Hauppauge, NY
  • NPI 1932275948
  NPD (past)
• Melissa Samples Kimberling, LCSW

  • School Social Worker
  • East Northport, NY
  • NPI 1013224336
  NPD (past)
• Jeannette Linkroum, LPN

  • Licensed Practical Nurse
  • Binghamton, NY
  • NPI 1053622456
  NPD (past)
• Lou Ann W Taylor, RN

  • Administrator Registered Nurse
  • Binghamton, NY
  • NPI 1710298526
  NPD (past)
• Yolanta Wojcik

  • Registered Nurse
  • Binghamton, NY
  • NPI 1891008926
  NPD (past)

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1235458035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SPRINT PKWY STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OLD COUNTRY RD STE 3",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012121",
            "telephone_number": "631-727-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QC - MEDI NEW YORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QC - MEDI NEW YORK, INC.",
        "enumeration_date": "2010-05-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "631-727-5353"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Professional Orthopedic and Sports Physical Therapy, PC
• Prohealth Care Associates, LLP
• Prohealth Chiropractic Rehabilitation PC
• Prothera Medical
• Kayla Emily Provenzano, FNP
• Quality Hearing Aid, Inc.
• Oscar R Quezada, M.D.
• Margaret Mary Quinlivan
• Lauren Quintero, FNP-BC
• Taylor Elizabeth Rado

• Home Health Agency in Riverhead, NY
• Providers in Riverhead, 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 Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.