NPIMap

Organization Active NPI

Long Island Fertility & Endocrinology Ivf Associates, PC

  • Clinical Medical Laboratory
  • Melville, NY
National Provider Identifier
1568630119
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LONG ISLAND FERTILITY & ENDOCRINOLOGY IVF ASSOCIATES, PC
Practice address
8 Corporate Center Dr
Suite 101
Melville, NY 11747-3193
Phone
(631) 752-0606
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Diane Ravech
Title
VP, Managed Care Contracting
Phone
(860) 678-3428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8 Corporate Center Dr
Suite 101
Melville, NY 11747-3193

Mailing address

8 Corporate Center Dr
Suite 101
Melville, NY 11747-3193

Other names 1

  • Laboratory at Long Island IVF, PC Other name

National Provider Directory

National Provider Directory
Tax ID family
L I Fertility Endoivf ASC P3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1568630119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CORPORATE CENTER DR",
            "address_2": "SUITE 101",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CORPORATE CENTER DR",
            "address_2": "SUITE 101",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473193",
            "telephone_number": "631-752-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND FERTILITY & ENDOCRINOLOGY IVF ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RAVECH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "VP, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "860-678-3428"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratory at Long Island IVF, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.