Protera Specialty Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

PROTERA SPECIALTY PHARMACY LLC

Practice address

100 N Centre Ave Ste 303
Rockville Centre, NY 11570-6300

Phone

(347) 378-6489

Fax

(718) 732-2906

NPI assigned

Apr 21, 2025

Organization subpart

No

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

Authorized official

Name

Tyler Neuberg

Title

President

Phone

(347) 378-6459

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Protera Specialty Pharmacy LLC2 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.

• Protera Specialty Pharmacy LLC

  • Specialty Pharmacy
  • Rockville Centre, NY
  • NPI 1538085998
  NPD tax ID

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1437946894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRE AVE STE 303",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706300",
            "telephone_number": "347-378-6489",
            "fax_number": "718-732-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRE AVE STE 303",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706300",
            "telephone_number": "347-378-6489",
            "fax_number": "718-732-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTERA SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "NEUBERG",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-378-6459"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Procter, PHD
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, PC
• Prohealth Dental PLLC
• Protera Specialty Pharmacy LLC
• Psychiatric NP Services of New York PLLC
• Judith Pullman, LCSW
• Pulmonary Care Associates PC
• Pure Medical Services PC

• Specialty Pharmacy in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Specialty Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.