Organization Active NPI

Nucare Pharmacy Inc.

  • Clinical Medical Laboratory
  • New York, NY
National Provider Identifier
1417608043
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NUCARE PHARMACY INC.
Practice address
1789 1St Ave
New York, NY 10128-6901
Phone
(212) 426-9300
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Russell ShvartsshteynNPI 1508068107
Title
Ceo
Phone
(718) 207-6310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Clinical Medical Laboratory 291U00000X Primary
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

1789 1St Ave
New York, NY 10128-6901

Mailing address

1789 1St Ave
New York, NY 10128-6901
Phone (212) 426-9300

Other identifiers 3

IdentifierTypeStateIssuer
33D2185044OtherNYLIMITED SERVICE LABORATORY REGISTRATION
029549OtherNYPHARMACY
03160881MedicaidNY

Other names 2

  • NuCare Testing Other name
  • NuHealth Other name

National Provider Directory

National Provider Directory
Tax ID family
Nucare Pharmacy Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1417608043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286901",
            "telephone_number": "212-426-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286901",
            "telephone_number": "212-426-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "SHVARTSSHTEYN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-207-6310"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED SERVICE LABORATORY REGISTRATION",
            "identifier": "33D2185044",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "029549",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03160881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuCare Testing",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NuHealth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.