Ippc of New York LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

034359 Issued in NY

Legal business name

IPPC OF NEW YORK LLC

Practice address

101 Fairchild Ave Ste 5
Plainview, NY 11803-1725

Phone

(516) 544-4311

Fax

(516) 544-4314

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Holly Paulauskas

Title

Office Manager

Phone

(732) 617-8686

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• IPPC OF NEW YORK Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1699135368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FAIRCHILD AVE STE 5",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031725",
            "telephone_number": "516-544-4311",
            "fax_number": "516-544-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FAIRCHILD AVE STE 5",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031725",
            "telephone_number": "516-544-4311",
            "fax_number": "516-544-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPPC OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "PAULAUSKAS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-617-8686"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "034359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPPC OF NEW YORK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IPPC OF NEW YORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irwin Ingwer, M.D
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• Long Term Care Pharmacy in Plainview, NY
• Providers in Plainview, 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 Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.