AGEWELL NEW YORK, LLC (NPI# 1740520949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740520949 |
| Entity Type | Organization |
| Organization Name | AGEWELL NEW YORK, LLC |
| Practice Address |
27111 76th Ave New Hyde Park NY 11040-1436 |
| Practice Telephone | 8665868044 |
| Practice Fax Number | 8553664110 |
| Mailing Telephone | 8665868044 |
| Mailing Fax Number | 8553664110 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | MS. TARA BUONOCORE-RUT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7182892669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03481927 | 05 |
| Street Address |
27111 76TH AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987565 | Sorina Viorica Dogaru-lungu | Internal Medicine | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2005-07-22 |
| 1861027880 | Alesha Brantley | Registered Nurse | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2020-03-10 |
| 1881193316 | Anand Medical P.C. | Family Medicine | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2018-02-10 |
| 1881109387 | Nyc-metro Physician Services PC | General Practice | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2017-12-06 |
| 1447764725 | Betty Iskhakov | Pharmacist | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2017-11-26 |
| 1780038265 | Standard Care Medical PC | Internal Medicine | 27111 76th Ave, C/o Dr. Nadia Irshad, Md, Dept. of Medicine-2nd Floor, New Hyde Park, NY 11040-1436 | 2016-04-20 |
| 1275996878 | Craig Bhoorasingh | Registered Nurse | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2016-03-31 |
| 1093110025 | Geralda Pelissier | Nurse Practitioner | 27111 76th Ave, New Hyde Park, NY 11040 | 2014-11-04 |
| 1164821120 | Parker Jewish Institute for Health Care and Rehabilitation | Alzheimer Center (Dementia Center) | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2014-08-15 |
| 1487095196 | Carlos Miguel Tellechea | Family Medicine | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2013-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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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.