NC Medical of Ny PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NC MEDICAL OF NY PC

Practice address

201 Monarch Dr
Liverpool, NY 13088-4506

Phone

(315) 615-4464

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Riley Wendling

Title

Central Support Specialist

Phone

(629) 266-1080

Specialties & licenses 1

Addresses

Other names 1

• Dot Liverpool Family Health Center Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

NC Medical of Ny PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• NC Medical of Ny PC

  • Primary Care Clinic/Center
  • Vestal, NY
  • NPI 1144104886
  NPD tax ID
• NC Medical of Ny PC

  • Nurse Practitioner
  • Latham, NY
  • NPI 1174483408
  NPD tax ID
• NC Medical of Ny PC

  • Nurse Practitioner
  • New York, NY
  • NPI 1588253785
  NPD tax ID
• NC Medical of Ny PC

  • Nurse Practitioner
  • Schenectady, NY
  • NPI 1972466126
  NPD tax ID
• NC Medical of Ny PC

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1992257034
  NPD tax ID

Locations

Practitioners 1

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

• Kim-Anh Ngoc Pham, FNP-C

  • Primary Care Clinic/Center
  • Liverpool, NY
  • NPI 1730799164
  NPD

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1649087263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964",
            "telephone_number": "866-434-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MONARCH DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884506",
            "telephone_number": "315-615-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC MEDICAL OF NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "WENDLING",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "CENTRAL SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "629-266-1080"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dot Liverpool Family Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn Nagle
• Nancy a Radecki LCSW PC
• Jason Naradzay
• National Vision Inc
• Maria Naylor
• Timothy Neal, MS, ATC
• Brenda Neill, RN
• Alice Nellenbach, PTA
• Brittany Taylor Neudecker, OD
• New York Anesthesiology Medical Specialties, PC

• Primary Care Clinic/Center in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.