Physicians Independant Practioners Association

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PHYSICIANS INDEPENDANT PRACTIONERS ASSOCIATION

Practice address

400 W Main St Ste 337
Babylon, NY 11702-3009

Phone

(631) 422-3507

Fax

(631) 422-3723

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Joerke Gurski

Title

Admin

Phone

(631) 422-3507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366656134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 337",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-422-3507",
            "fax_number": "631-422-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 337",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-422-3507",
            "fax_number": "631-422-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS INDEPENDANT PRACTIONERS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GURSKI",
        "authorized_official_first_name": "JOERKE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "631-422-3507"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Pena, PA-C
• Brian Christopher Penta
• Alice Mary Peplinski, MS
• Robert Perdue, P.A.
• Physical Therapy Care, PC
• Terri Anne Piezzo, ANP
• Sasha Rebecca Pincus, LCAT-LP
• Jacklyn Rose Plonski, DPT
• Frank T. Pollaro, MD
• Donna M. Pomilla, M.A., CCC-SLP

• Exclusive Provider Organization in Babylon, NY
• Providers in Babylon, NY by specialty
• Exclusive Provider Organization 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.