MEDCOR INC. (NPI# 1407187917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407187917 |
| Entity Type | Organization |
| Organization Name | MEDCOR INC. |
| Practice Address |
30 Rockefeller Plz Suite 754s-9 New York NY 10112-0015 |
| Mailing Address |
30 Rockefeller Plz Suite 754s -9 New York NY 10112-0015 |
| Practice Telephone | 2126644444 |
| Mailing Telephone | 2126644444 |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |
| Authorized Official Name | MS. SALLY ANNE JUSTINE REXACH (NURSE PRACTITIONER) |
| Authorized Official Telephone | 2126644444 |
| Authorized Official Credential | APRN, MSN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
F33677-1 | NY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MEDCOR INC. | 4805 W Prime Pwky, Mchenry, IL 60050 |
| Virginia Business Entities | MEDCOR INC. | 4805 Prime Pkwy, Mchenry, Illinois 60050-7002 |
| Street Address |
30 ROCKEFELLER PLZ SUITE 754S-9 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10112-0015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912008848 | Value Drugs Rock Inc | Pharmacy | 30 Rockefeller Plz, New York, NY 10112-0002 | 2006-09-25 |
| 1972034346 | Crossover Health Medical Group | Specialist | 30 Rockefeller Plz, 924e-4, New York, NY 10112-0015 | 2017-03-27 |
| 1609123959 | Sally Anne Justine Rexach | Nurse Practitioner | 30 Rockefeller Plz, Suite 754-s, New York, NY 10112-0015 | 2012-08-06 |
| 1407128754 | Alan Schnuer | Pharmacist | 30 Rockefeller Plz, C/o Value Drugs, New York, NY 10112-0015 | 2012-02-02 |
| 1003021718 | Eva Andersson | Clinic/Center | 30 Rockefeller Plz, Room 750s, New York, NY 10112-0002 | 2007-05-14 |
| 1962626606 | Tanya Benenson | Internal Medicine | 30 Rockefeller Plz, Rm 750s, New York, NY 10112-0002 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194922435 | Matthew Jay Liss | Specialist | 30 Rockefeller Plaza, Nbcu Medical Deptroom 750s, New York, NY 10112 | 2007-06-29 |
| 1508395310 | Katherine Tymeck | Registered Nurse | 30 Rockefeller Plz Rm 324e-4, New York, NY 10112-0015 | 2017-06-06 |
| 1659400562 | Wendy W. Kong | Nurse Practitioner | 30 Rockefeller Plz Rm 924e-4, New York, NY 10112-0015 | 2007-03-05 |
| 1801306865 | Ellen Kathleen Markey | Nurse Practitioner | 30 Rockefeller Plz Rm 924e-4, New York, NY 10112-0015 | 2017-10-04 |
| 1043466725 | Sarah Evelyn Klibanoff | Optometrist | 63 W 49th St, New York, NY 10112-1501 | 2008-08-13 |
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
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| 1861514036 | Port Authority of New York and New Jersey | Clinic/Center | 233 Park Ave S, New York, NY 10003-1606 | 2007-04-06 |
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| 1720299654 | Carthage Area Hospital Inc. | Clinic/Center | 32787 Us Route 11, Philadelphia, NY 13673 | 2007-05-24 |
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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.