96TH STREET RX CORP (NPI# 1588194898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588194898 |
Entity Type | Organization |
Organization Name | 96TH STREET RX CORP |
Practice Address |
175 E 96th St New York NY 10128-6200 |
Mailing Address |
1047 Surf Ave Fl 2 Brooklyn NY 11224-2810 |
Practice Telephone | 6469792900 |
Practice Fax Number | 6466612541 |
Mailing Telephone | 2122498202 |
Mailing Fax Number | 9177220851 |
Enumeration Date | 2017-06-19 |
Last Update Date | 2017-06-19 |
Authorized Official Name | ELAN KATZ (PRESIDENT) |
Authorized Official Telephone | 2122498202 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
033662 | NY | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144759226 | 96th Street Rx Corp | Pharmacy | 175 E96th Street, New York, NY 10128 | 2017-06-12 |
1649654914 | 96th Street Rx Corp | Pharmacy | 175 E 96th St, New York, NY 10128-6200 | 2015-07-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | 96TH STREET RX CORP. | 1047 Surf Ave 2nd Fl, Brooklyn, Ny 11224 |
Street Address |
175 E 96TH ST |
City | NEW YORK |
State | NY |
Zip Code | 10128-6200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265401004 | George Dolger | Psychologist | 175 E 96th St, 20k, New York, NY 10128-6210 | 2006-03-15 |
1932619608 | Nyc Medical Infusion PC | Pharmacy | 175 E 96th St, New York, NY 10128-6200 | 2017-10-06 |
1952838617 | Nyc Infusion | Clinic/Center | 175 E 96th St, New York, NY 10128-6200 | 2017-05-12 |
1366985988 | Katharine Oliver Gilly | Registered Nurse | 175 E 96th St, New York, NY 10128-6200 | 2016-11-30 |
1831642008 | Ahmed A M A A Al Khamis | Student in an Organized Health Care Education/Training Program | 175 E 96th St, Apt 10b, New York, NY 10128-6200 | 2016-07-25 |
1649654914 | 96th Street Rx Corp | Pharmacy | 175 E 96th St, New York, NY 10128-6200 | 2015-07-16 |
1477961993 | Peter Kotanko | Internal Medicine | 175 E 96th St, Apt 21l, New York, NY 10128-6200 | 2014-07-28 |
1972840833 | Michael Gruber | Psychologist | 175 E 96th St, 22d, New York, NY 10128-6200 | 2013-01-12 |
1861737827 | Deborah Marie Carroll | Social Worker | 175 E 96th St, Apt 8t, New York, NY 10128-6200 | 2012-12-03 |
1871861807 | Linda C Wayne | Registered Nurse | 175 E 96th St, 21r, New York, NY 10128-6200 | 2011-12-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
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Taxonomy Code | 3336S0011X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Specialty Pharmacy |
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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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.