Medassure LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDASSURE LLC

Practice address

2334 Washington Ave
Bronx, NY 10458-7714

Phone

(718) 316-6766

NPI assigned

Jul 11, 2019

Organization subpart

No

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

Authorized official

Name

Idan LeviNPI 1659839140

Title

Pic

Phone

(518) 618-2220

Specialties & licenses 3

Addresses

Other names 1

• Medassure Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Idan Levi

  • Pharmacist
  • Bronx, NY
  • NPI 1659839140
  NPD Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1740832575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 WASHINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104587714",
            "telephone_number": "718-316-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 WASHINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104587714",
            "telephone_number": "718-316-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDASSURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "IDAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "518-618-2220"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medassure Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medalliance Medical Health Services
• Medalliance Medical Health Services
• Medalliance Medical Health Services
• Medalliance Medical Health Services Inc
• Shivanand Shankar Medar, MD
• Medassure LLC
• Medcareplus, PLLC
• Dalia Medel Ventura
• Marta Soraya Medenard, RN
• Natalia Y Medero, LAC

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.