NPIMap

Organization Active NPI

Poligroup LLC

  • Case Manager/Care Coordinator
  • Hauppauge, NY
National Provider Identifier
1861073512
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
POLIGROUP LLC
Practice address
15 Calico Tree Rd
Hauppauge, NY 11788-2623
Phone
(631) 672-0780
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Mr. Vincent Rocco Policastro
Title
Administrative Officer
Phone
(631) 672-0780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

15 Calico Tree Rd
Hauppauge, NY 11788-2623

Mailing address

15 Calico Tree Rd
Hauppauge, NY 11788-2623
Phone (631) 672-0780

National Provider Directory

National Provider Directory
Tax ID family
Aidwell Healthcare2 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.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1861073512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CALICO TREE RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882623",
            "telephone_number": "631-672-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALICO TREE RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882623",
            "telephone_number": "631-672-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLIGROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "POLICASTRO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ROCCO",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "631-672-0780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.