Organization Active NPI

Icare of New York Ipa LLC

  • Case Management Registered Nurse
  • New York, NY
National Provider Identifier
1467969634
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
404652 Issued in NY
Legal business name
ICARE OF NEW YORK IPA LLC
Practice address
5 Penn PLZ Ste 2301
New York, NY 10001-1810
Phone
(347) 931-8999
NPI assigned
Jan 9, 2018
Last updated
Jan 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
Mr. Hang Guo
Title
Ceo
Phone
(347) 546-2966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 404652 NY Primary

Addresses

Primary practice location

5 Penn PLZ Ste 2301
New York, NY 10001-1810

Mailing address

5 Penn PLZ Ste 2301
New York, NY 10001-1810
Phone (347) 931-8999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1467969634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PENN PLZ STE 2301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011810",
            "telephone_number": "347-931-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PENN PLZ STE 2301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011810",
            "telephone_number": "347-931-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE OF NEW YORK IPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "HANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-546-2966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "404652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 9, 2018; 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.