New York Premier Ipa

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

NEW YORK PREMIER IPA

Practice address

9201 4TH Ave
Brooklyn, NY 11209-7065

Phone

(718) 748-2109

Fax

(718) 748-5696

NPI assigned

Jul 31, 2013

Last updated

Jul 31, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

NEW YORK NETWORK MANAGEMENTAs reported in NPPES

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

Authorized official

Name

Elizabeth Kelly

Title

Ceo

Phone

(718) 748-2109

Specialties & licenses 1

Addresses

Tax ID family

Brooklyn Medical Systems Ipa 22 organizations share this tax ID, including this one

Part of

New York Network Ipa Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brooklyn Medical Systems Ipa 2

  • Exclusive Provider Organization
  • Brooklyn, NY
  • NPI 1487998480
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• New York Network Management, LLC

  • Exclusive Provider Organization
  • Brooklyn, NY
  • NPI 1578695763
  NPPES parent name

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1881026987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-748-2109",
            "fax_number": "718-748-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-748-2109",
            "fax_number": "718-748-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PREMIER IPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK NETWORK MANAGEMENT",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-748-2109"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Pet Imaging Center LLC
• New York Physical and Occupational Theraph PLLC (Chimes Physical Therapy)
• New York Physical and Occupational Therapy PLLC (Park Slope Physical Therapy and Rehabilitation)
• New York Physical and Occupational Therapy Services, PLLC (New York Therapy And Wellness)
• New York Physical Therapy Care PC
• New York Presbyterian Hospital
• New York Presbyterian Hospital
• New York Presbyterian Weill Cornell
• New York Professional Medical Services LLC
• New York Psychiatric Services, P.C.

• Exclusive Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.