Intrepid of New York Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0965L001 Issued in NY

Legal business name

INTREPID OF NEW YORK INC

Doing business as

Intrepid USA Healthcare Services

Practice address

120 East Ave
Unit #101 Rochester Club Centre
Rochester, NY 14604-2551

Phone

(585) 427-9900

Fax

(585) 427-2414

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Greg A Von Arx

Title

Cfo

Phone

(952) 285-7300

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

  dba Intrepid USA Healthcare Services

  • Home Health Agency
  • Seaford, NY
  • NPI 1235112574
  NPD tax ID
• Intrepid of New York Inc

  dba Intrepid USA Healthcare Services

  • 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": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306828983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "SUITE 510",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351804",
            "telephone_number": "952-285-7300",
            "fax_number": "952-285-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST AVE",
            "address_2": "UNIT #101 ROCHESTER CLUB CENTRE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042551",
            "telephone_number": "585-427-9900",
            "fax_number": "585-427-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPID OF NEW YORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VON ARX",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "952-285-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0965L001",
            "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"
        }
    ]
}

• Brianna Lynn Interlichia
• Internal Medicine Group
• Internal Medicine Group
• Internal Medicine of Brighton, PLLC
• Internal Medicine on East Ridge, LLC
• Anthony Inzana, P.A.
• Carol Rose Inzinga, LCSW
• Matthew Iorio, MSW
• Shanierae Christien Iorio, LPN
• Anna S Iouchkovskaia, MD

• Home Health Agency in Rochester, NY
• Providers in Rochester, 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 Aug 22, 2020; 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.