Active NPI
Nucare LTC LLC
Doing business as NuCare Long Term Care Pharmacy
- Long Term Care Pharmacy
- Elmont, NY
National Provider Identifier
1376225805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- NUCARE LTC LLC
- Doing business as
- NuCare Long Term Care Pharmacy
- Practice address
- 1633 Dutch Broadway
Elmont, NY 11003-5008 - Phone
- (516) 620-1315
- Fax
- (516) 620-4799
- NPI assigned
- Aug 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ruslan Shvartsshteyn, PT
- Title
- Member
- Phone
- (718) 207-6310
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1633 Dutch Broadway
Elmont, NY 11003-5008
Mailing address
1633 Dutch Broadway
Elmont, NY 11003-5008
Phone (516) 620-1315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040410 | Other | NY | PHARMACY STATE |
Other names 1
- NuCare Long Term Care Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240329000091 | NY | Part B Supplier - Pharmacy | 4880032697 | Practice locations: Elmont, NY |
| O20240508002526 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880032697 | Practice locations: Elmont, NY |
| O20250130000796 | NY | DME Supplier - Pharmacy | 4880032697 | Practice locations: Elmont, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Nucare LTC LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Suppl… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1633 Dutch Broadway
Elmont, NY 11003
Phone (516) 620-1315
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Elmont, NY
- NPI 1316758436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1376225805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 DUTCH BROADWAY",
"city": "ELMONT",
"state": "NY",
"postal_code": "110035008",
"telephone_number": "516-620-1315",
"fax_number": "516-620-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 DUTCH BROADWAY",
"city": "ELMONT",
"state": "NY",
"postal_code": "110035008",
"telephone_number": "516-620-1315",
"fax_number": "516-620-4799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUCARE LTC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-03",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A",
"authorized_official_last_name": "SHVARTSSHTEYN",
"authorized_official_first_name": "RUSLAN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-207-6310",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE",
"identifier": "040410",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NuCare Long Term Care Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NuCare Long Term Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.