IVY MEDICINE, PC (NPI# 1932328168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932328168 |
| Entity Type | Organization |
| Organization Name | IVY MEDICINE, PC |
| Practice Address |
740 Veterans Hwy Suite 203 Hauppauge NY 11788-2329 |
| Mailing Address |
Po Box 2711 Huntington Station NY 11746-0559 |
| Practice Telephone | 6316731177 |
| Practice Fax Number | 6314897035 |
| Mailing Telephone | 6316731177 |
| Mailing Fax Number | 6314897035 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | DR. SANGHUN SONG (PRESIDENT) |
| Authorized Official Telephone | 6316731177 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
208578 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
740 VETERANS HWY SUITE 203 |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124029590 | Beth J Cohen | Chiropractor | 740 Veterans Hwy, Ste 210, Hauppauge, NY 11788-2329 | 2005-08-09 |
| 1720417017 | Bonnie Marchione | Massage Therapist | 740 Veterans Hwy, Ste 210, Hauppauge, NY 11788-2329 | 2013-11-06 |
| 1750720819 | Dr. Beth J Cohen Dc PC | Chiropractor | 740 Veterans Hwy, 210, Hauppauge, NY 11788-2329 | 2013-06-21 |
| 1316292659 | Tinamarie Catanese | Social Worker | 740 Veterans Hwy, Hauppauge, NY 11788-2329 | 2012-07-23 |
| 1881969814 | Jeff Lu, Md, P.C. | Clinic/Center | 740 Veterans Hwy, Suite 205, Hauppauge, NY 11788-2329 | 2012-03-08 |
| 1003080649 | Hector Melgar Pt PC | Clinic/Center | 740 Veterans Hwy, Suite 203, Hauppauge, NY 11788-2329 | 2008-04-15 |
| 1487869392 | Joanna V Acaylar | Contractor | 740 Veterans Hwy, Hauppauge, NY 11788 | 2007-05-14 |
| 1033202841 | Sheryl E Phillips | Dietitian, Registered | 740 Veterans Hwy, Suite 306, Hauppauge, NY 11788-2329 | 2006-10-02 |
| 1093702425 | Sang H Song Sr. | Physical Medicine & Rehabilitation | 740 Veterans Hwy, Suite 203, Hauppauge, NY 11788-2329 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384535 | Mohammad Aalai Medical Pllc | Physical Medicine & Rehabilitation | 17 Richlee Ct Apt 1s, Mineola, NY 11501-3638 | 2020-10-22 |
| 1659923357 | Action Rehab Medicine Pllc | Physical Medicine & Rehabilitation | 88 Hamilton Dr, Roslyn, NY 11576-3129 | 2019-07-12 |
| 1447813878 | Parkway Medical Services | Physical Medicine & Rehabilitation | Parkway Medical Services PC, 77 Pondfield Road 2f4, Bronxville, NY 10708 | 2019-04-22 |
| 1932667870 | Smart Care Medical P C | Physical Medicine & Rehabilitation | 353 93rd St, Brooklyn, NY 11209-6901 | 2019-03-11 |
| 1215454905 | Medical Alliance of New Jersey PC | Physical Medicine & Rehabilitation | 4806 11th Ave, Brooklyn, NY 11219-2931 | 2017-08-24 |
| 1215382445 | Westchester Pain Management | Physical Medicine & Rehabilitation | 83 S Bedford Rd Ste 100, Mount Kisco, NY 10549-3459 | 2016-04-25 |
| 1730584947 | 1st Step To Health Medical PC | Physical Medicine & Rehabilitation | 4310-12 Church Avenue, Brooklyn, NY 11203 | 2014-10-30 |
| 1629494570 | Brian Pekkerman | Physical Medicine & Rehabilitation | 2 Ohio Dr Ste 102, New Hyde Park, NY 11042-1111 | 2014-03-14 |
| 1649604661 | V-medical PC | Physical Medicine & Rehabilitation | 1069 Hempstead Tpke, Suite 4, Franklin Sq, NY 11010-2631 | 2013-08-27 |
| 1760825210 | Stephen Erosa | Physical Medicine & Rehabilitation | 1088 North Broadway, Yonkers, NY 10701 | 2013-04-15 |
| Find all providers with the same taxonomy | ||||
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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.