Ignite Wellness Management Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

T634 Issued in NY

Legal business name

IGNITE WELLNESS MANAGEMENT SERVICES LLC

Practice address

1150 Pittsford Victor Rd Ste G
Pittsford, NY 14534-3838

Phone

(585) 248-8720

NPI assigned

Jul 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stephen H Cohen, M.D.

Title

Medical/Laboratory Director

Phone

(585) 248-8720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1699021691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PITTSFORD VICTOR RD STE G",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343838",
            "telephone_number": "585-248-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PITTSFORD VICTOR RD STE G",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343838",
            "telephone_number": "585-248-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE WELLNESS MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL/LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "585-248-8720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "T634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Murray Humphreys, PSYD
• Carolyn G Huntress, R.PH.
• Courtni Elizabeth Hurd, LCSW
• Margaret Mary Hurley, R.N.
• Meghan Hurley
• Integrative Family Care at the Springs PLLC
• Ellen Simon Irving, LCSW
• It Practice Consulting, Corp
• Jack M. Dorkhom, DMD, PLLC
• Antoinette H Jakobi, MD

• Clinical Medical Laboratory in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.