Lifecare Medical Associates PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

272179 Issued in NY

Legal business name

LIFECARE MEDICAL ASSOCIATES PC

Practice address

1991 Balsley Rd
Seneca Falls, NY 13148-6725

Phone

(315) 539-9229

NPI assigned

Jun 25, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Lifecare Medical Associates Doing business as

Part of

Tri - State Medical Group Inc

Locations

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1679988943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 SCRANTON RD",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 BALSLEY RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131486725",
            "telephone_number": "315-539-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-06-25",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NY",
            "license": "272179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifecare Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ann Liburdi
• Sheryl Anne Liedtke, RPH
• Lifecare Diagnostics Inc
• Lifecare Diagnostics Inc
• Lifecare Medical Associates PC
• Dorothy M Lind, BA
• Denise Mary-Frances Lorenzetti, RN
• Joseph Anthony Lorenzetti, M.D.
• Nicole L Luckinbill
• James Hubert Lynch, NP-C

• Non-Pharmacy Dispensing Site in Seneca Falls, NY
• Providers in Seneca Falls, NY by specialty
• Non-Pharmacy Dispensing Site in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.