Cary Adult Medicine PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

38831 Issued in NC

Legal business name

CARY ADULT MEDICINE PLLC

Practice address

930 SE Cary Parkway
Suite 200
Cary, NC 27518

Phone

(919) 859-2566

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert John Resnik, MDNPI 1346209400

Title

Director

Phone

(919) 859-2566

Specialties & licenses 1

Addresses

Other names 1

• Cary Adult and Adolescent Medicine PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: llisicki@carymed.amazing-direct.com
• Direct secure messaging: rresnik@carymed.amazing-direct.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert John Resnik

  • Internal Medicine Physician
  • Cary, NC
  • NPI 1346209400
  Medicare reassignment NPD Authorized official
• Laura Christine Lisicki, MS, FNP-BC

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1508083536
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336227958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SE CARY PARKWAY",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-859-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SE CARY PARKWAY",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-859-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY ADULT MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RESNIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-859-2566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "38831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cary Adult and Adolescent Medicine PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Karen Carter
• Karen Carter
• Kelsey Jane Carter, PHARMD
• Shakia Mosi Carter
• Carmen Elisa Caruthers
• Cary Area EMS
• Cary Audiology Associates, PLLC
• Cary Audiology Associates, PLLC
• Cary Behavioral Health, PC
• Cary Cardiology Associates (Cary Cardiology Associates - Cary)

• Clinic/Center in Cary, NC
• Providers in Cary, NC by specialty
• Clinic/Center in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.