MEDICASAFE, INC. (NPI# 1417327016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417327016 |
| Entity Type | Organization |
| Organization Name | MEDICASAFE, INC. |
| Practice Address |
131 Varick St Suite 934 New York NY 10013-1410 |
| Practice Telephone | 6466127653 |
| Practice Fax Number | 6463493796 |
| Mailing Telephone | 6466127653 |
| Mailing Fax Number | 6463493796 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |
| Authorized Official Name | MR. MATTHEW J ERVIN (CEO) |
| Authorized Official Telephone | 6466612537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
131 VARICK ST SUITE 934 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10013-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1083249411 | Phoebe Richman | Social Worker | 121 Ave of The Americas, New York, NY 10013 | 2020-03-05 |
| 1366087868 | Kelsey C Sjolund | Speech-Language Pathologist | Speak Out New York, 100 Reade Street C/o Gymboree, Tribeca, NY 10013 | 2019-11-08 |
| 1720560717 | Julia I Pema Dolma Gutman | Social Worker | 85 Bayard St, Suite 4, New York, NY 10013 | 2018-09-05 |
| 1881187169 | Markus Burrell | Social Worker | 350 Canal St # 574p, New York, NY 10013 | 2018-06-11 |
| 1659879799 | Shui-fong Chong | Acupuncturist | 139 Centre Street, Suite 315, New York, NY 10013 | 2018-01-23 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1528570397 | Lauren Haythe | Acupuncturist | 481 Broadway, Suite 3, Manhattan, NY 10013 | 2017-11-01 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| Find all providers in zip 10013 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205467842 | Tara Healthcare LLC | Family Medicine | 157 Bleecker St # 1, New York, NY 10012-1625 | 2020-02-03 |
| 1881120376 | Yonina Mar | Family Medicine | 10 Nathan D. Perlman Pl, Msbi Psychiatry, Bernstein Pavilion, Room 7b15, New York, NY 10003 | 2017-05-03 |
| 1215050273 | Bruno Recupero | Family Medicine | 26 Avenue A, New York, NY 10009-7601 | 2007-04-06 |
| 1730207119 | Greenwich House Inc | Family Medicine | 122 West 27th Street, 6th Floor, New York, NY 10001 | 2007-03-26 |
| 1023177920 | Sami Kaddouri | Family Medicine | 57 West 57th Streeet, 18th Floor, New York, NY 10019 | 2006-12-06 |
| 1255442513 | Guy J Pean | Family Medicine | 177 E 122nd St, New York, NY 10035-2906 | 2006-08-31 |
| 1235176355 | Jayant H Gandhi | Family Medicine | 80 E End Ave, Suite -14b, New York, NY 10028-8004 | 2006-05-31 |
| 1932532710 | Annie Levesque | Family Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2013-08-15 |
| 1417183286 | Carter Franklin Dillman | Family Medicine | 30 Park Ave, 15n, New York, NY 10016-3801 | 2009-06-06 |
| 1831304609 | Sharon L Stancliff | Family Medicine | 8 E 3rd St, New York, NY 10003-8908 | 2007-05-14 |
| Find all providers in NEW YORK | ||||
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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.