New York Quality Healthcare Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

C029339 Issued in NY

Legal business name

NEW YORK QUALITY HEALTHCARE CORPORATION

Doing business as

Ambetter Health
Fidelis Care
WellCare by Fidelis Care1 more in Other names

Practice address

2501 Jackson Ave
Long Island City, NY 11101-5095

Phone

(888) 343-3547

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Kenneth Koshorek

Title

VP, Associate General Counsel

Phone

(313) 720-5567

Specialties & licenses 1

Addresses

Other names 4

• Ambetter Health Doing business as
• Fidelis Care Doing business as
• WellCare by Fidelis Care Doing business as
• Wellcare Doing business as

Locations

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1649767344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 FORSYTH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JACKSON AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015095",
            "telephone_number": "888-343-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK QUALITY HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "KOSHOREK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP, ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "313-720-5567"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "C029339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambetter Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fidelis Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fidelis Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellCare by Fidelis Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Long Island City, NY
• Providers in Long Island City, 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 Feb 20, 2026; 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.