2355 2ND Ave Nys LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

2355 2ND AVE NYS LLC

Practice address

2355 2ND Ave
New York, NY 10035-3107

Phone

(212) 426-7151

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Sue Roturra

Title

Coo

Phone

(561) 323-8987

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

2355 2ND Ave Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• 2355 2ND Ave Nys LLC

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1679628747
  NPD tax ID

Practitioners 1

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

• Larisa Shalonov, RPH

  • Pharmacist
  • New York, NY
  • NPI 1649451238
  NPD

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1679279756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353107",
            "telephone_number": "212-426-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2355 2ND AVE NYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "ROTURRA",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-323-8987"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06479881",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1057316H3S",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 222 Chelsea Pharmacy Inc
• 2244 First Ave LLC
• 228 Medical, P.C.
• 233 Broadway Podiatry PLLC
• 233 Podiatric Surgery PLLC
• 2355 2ND Ave Nys LLC
• 23Rd Street Dental LLC
• 23Rd Street Optical
• 255 Columbus Ave Corp
• 28TH and Madison LLC

• Long Term Care Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.