675 DELAWARE LLC (NPI# 1346570827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346570827 |
| Entity Type | Organization |
| Organization Name | 675 DELAWARE LLC |
| Practice Address |
6364 White Oak Way Lake View NY 14085-9572 |
| Practice Telephone | 7169979410 |
| Mailing Telephone | 7169979410 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | MR. TODD CROSS (MANAGING PARTNER) |
| Authorized Official Telephone | 7169979410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | 675 DELAWARE LLC | 675 Delaware Avenue, Apartment 1010, Buffalo, Ny 14209 |
| Street Address |
6364 WHITE OAK WAY |
| City | LAKE VIEW |
| State | NY |
| Zip Code | 14085-9572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164999207 | Megan Nicole Urbank | Student in an Organized Health Care Education/Training Program | 2415 Agassiz Drive, Lake View, NY 14085 | 2018-10-26 |
| 1215130471 | Lainie Jean Jones | Licensed Practical Nurse | 6856 Southwestern Blvd, Lakeview, NY 14085 | 2007-06-06 |
| 1841485562 | John J Kenney Sr. | Registered Nurse | 6855 Southwestern Blvd, Lakeview, NY 14085 | 2007-09-06 |
| 1881628709 | Erson Paul Religioso IIi | Physical Therapist | 6029 Pinehurst Ct, Lake View, NY 14085-9203 | 2006-07-10 |
| 1407021520 | Justine Marie Mcquillen | Occupational Therapist | 2161 Fox Chase Rd, Lake View, NY 14085-9438 | 2008-04-29 |
| 1679837223 | Barbara E Tolbert | Specialist | 5746 East Ln, Lake View, NY 14085-9458 | 2012-06-28 |
| 1851939896 | Hannah Elisabeth Mcevoy | Licensed Practical Nurse | 1439 Schoellkopf Rd Apt 1, Lake View, NY 14085-9475 | 2019-12-19 |
| 1225588403 | Laurie Smith | Registered Nurse | 1400 Schoellkopf Rd, Lake View, NY 14085-9520 | 2016-10-11 |
| 1629254800 | Kathleen Fedele | Specialist | 6253 Old Lake Shore Rd, Lake View, NY 14085-9560 | 2008-01-17 |
| 1104295237 | Boys On The Right Track | Voluntary or Charitable | 1597 Evergreen Dr, Lake View, NY 14085-9567 | 2015-09-18 |
| Find all providers in zip 14085 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
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| 1144844317 | Icahn School of Medicine At Mount Sinai | Physiological Laboratory | 485 Merrick Rd, Rockville Centre, NY 11570-5436 | 2020-06-03 |
| 1144876483 | Mas Imaging Portable X-ray Inc | Physiological Laboratory | 90 Arrival Ave Ste 105, Ronkonkoma, NY 11779-7361 | 2019-08-13 |
| 1144798596 | Heart Smart Inc. | Physiological Laboratory | 1160 E Jericho Tpke Ste 204, Huntington, NY 11743-5405 | 2018-11-04 |
| 1093292229 | Empire Sleep Testing LLC | Physiological Laboratory | 2810 Sweet Home Rd, Amherst, NY 14228-1347 | 2018-07-20 |
| 1700389616 | Cardiac Monitoring Services, LLC | Physiological Laboratory | 232 West Main St, Mountor Falls, NY 14865 | 2018-03-16 |
| 1437673811 | Accu Home Testing LLC | Physiological Laboratory | 544 Park Ave Ste 635, Brooklyn, NY 11205-1600 | 2017-07-27 |
| 1427586726 | O-k Diagnostics LLC | Physiological Laboratory | 4176 Victory Blvd, Staten Island, NY 10314-6739 | 2017-05-31 |
| 1578005500 | Rhythm Management Solutions,llc | Physiological Laboratory | 179 South St Ste 100, Oyster Bay, NY 11771-2239 | 2016-11-08 |
| 1508308693 | Imaging Consultants and Billing of Ny, LLC | Physiological Laboratory | 1249 E 68th St, Brooklyn, NY 11234-5721 | 2016-11-07 |
| 1003279910 | Nova Diagnostics Inc | Physiological Laboratory | 2554 Cropsey Ave, 1st Floor, Brooklyn, NY 11214-6606 | 2016-03-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.