McIc Physicians Ipa Group, Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

MCIC PHYSICIANS IPA GROUP, INC

Practice address

40 Exchange PL
701
New York, NY 10005-2701

Phone

(786) 554-1151

Fax

(786) 331-9660

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Tracy Folliard, IPA

Title

Manager

Phone

(786) 554-1151

Specialties & licenses 1

Addresses

Tax ID family

McIc Physicians Ipa Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• McIc Physicians Ipa Group

  • General Practice Physician
  • New York, NY
  • NPI 1174061311
  NPD tax ID

Locations

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1376095802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 PONCE DE LEON BLVD",
            "address_2": "500",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344418",
            "telephone_number": "786-554-1151",
            "fax_number": "786-331-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EXCHANGE PL",
            "address_2": "701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052701",
            "telephone_number": "786-554-1151",
            "fax_number": "786-331-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCIC PHYSICIANS IPA GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "FOLLIARD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-554-1151",
        "authorized_official_credential": "IPA"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene E McHugh, FNP
• Meredith McHugh, LCSW-C, PH.D
• Nadia Bousada McHugh
• Pauline Frances McHugh, MD
• McIc Physicians Ipa Group
• Joy A McIlvaine, ANP-BC, L.AC.
• Daniel Stephen McInerney
• Danielle Elizabeth McInerney, PT, DPT
• David McInerney
• Deborah McInerney, MS, RD

• Adult Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.