Wellcare of New York, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

WELLCARE OF NEW YORK, INC.

Practice address

One New York Plaza
15TH Floor
New York, NY 10004

Phone

(212) 463-6100

NPI assigned

May 22, 2008

Organization subpart

Yes

Parent organization

WELLCARE HEALTH PLANS, INC.As reported in NPPES

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

Authorized official

Name

Michael Haber

Title

VP & Secretary

Phone

(813) 206-1490

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1548427974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "813-290-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE NEW YORK PLAZA",
            "address_2": "15TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10004",
            "telephone_number": "212-463-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OF NEW YORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HEALTH PLANS, INC.",
        "enumeration_date": "2008-05-22",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "813-206-1490"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01182503",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE (MLTC)",
            "identifier": "02825230",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE COMPLETE (MLTC)",
            "identifier": "02825249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Well Minded Psychology, PLLC
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• Wellbeing Care Clinic
• Wellcare Acupuncture P.C.
• Wellcare Health Insurance of New York, Inc.
• Wellcheck LLC
• Carrie Wellen
• David Wellen, PH.D.
• Alexander S Weller, MD
• Christopher Francis Weller, PHD

• Health Maintenance Organization in New York, NY
• Providers in New York, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.