Active NPI
Regioncare Inc.
- Home Infusion Agency
- Great Neck, NY
National Provider Identifier
1992777510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- 0861L001
- Legal business name
- REGIONCARE INC.
- Practice address
- 200 Community Dr
Great Neck, NY 11021 - Phone
- (516) 414-3900
- Fax
- (516) 414-3946
- NPI assigned
- Feb 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michele Lee Cusack
- Title
- Senior Vice President and Cfo
- Phone
- (516) 321-6058
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 0861L001 | NY | Primary |
| Home Infusion Therapy Pharmacy | 3336H0001X | 021785 | NY |
Addresses
Primary practice location
200 Community Dr
Great Neck, NY 11021
Mailing address
200 Community Dr
Great Neck, NY 11021
Phone (516) 414-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01440913 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930052497 | NY | DME Supplier - Pharmacy | 2961461611 | Practice locations: Great Neck, NY |
| O20110502000729 | NY | Part B Supplier - Pharmacy | 2961461611 | Practice locations: Great Neck, NY |
| O20210212002222 | NY | Part B Supplier - Home Infusion Therapy Supplier | 2961461611 | Practice locations: Great Neck, NY |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Surgery Physician
- Westbury, NY
- NPI 1427428150
Member Of
Locations
200 Community Dr
Great Neck, NY 11021
Phone (516) 414-3900
200 Community Dr
Ste 1
Great Neck, NY 11021
Phone (516) 414-3900
8811 165th St
Ste 900
Jamaica, NY 11432
Phone (718) 776-9870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568246400000",
"number": "1992777510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COMMUNITY DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-414-3900",
"fax_number": "516-414-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 COMMUNITY DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-414-3900",
"fax_number": "516-414-3946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-07",
"last_updated": "2019-09-12",
"status": "A",
"authorized_official_last_name": "CUSACK",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND CFO",
"authorized_official_telephone_number": "516-321-6058",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NY",
"license": "0861L001",
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "NY",
"license": "021785",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01440913",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.