Organization Active NPI

Nucare LTC LLC

Doing business as NuCare Long Term Care Pharmacy

  • Long Term Care Pharmacy
  • Elmont, NY
National Provider Identifier
1376225805
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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

Updated by the provider on Aug 15, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
040410OtherNYPHARMACY STATE

Other names 1

  • NuCare Long Term Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 4880032697 Practice locations: Elmont, NY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Nucare LTC LLC1633 Dutch Broadway, Elmont, NY 11003-5008(516) 620-1315 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 assignmentParticipating since Mar 27, 2024

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.