CCN -WNY IPA LLC (NPI# 1669833158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669833158 |
| Entity Type | Organization |
| Organization Name | CCN -WNY IPA LLC |
| Other Organization Name | NEW YORK HEALTH CARE PROVIDERS IPA LLC |
| Practice Address |
4 Greenwich Office Park Floor 2 Greenwich CT 06831-5153 |
| Practice Telephone | 9142510300 |
| Mailing Telephone | 9142510300 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | MR. RICHARD W. KAPLAN (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9142510300 |
| Is Organization Subpart | Y |
| Parent Organization Name | EVICORE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| New York Health Care Providers IPA LLC | Doing Business As Name - Organization |
| Street Address |
4 GREENWICH OFFICE PARK FLOOR 2 |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "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. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891299178 | Ny Health Providers | Preferred Provider Organization | 3 Greenwich Office Park Ste 1, Greenwich, CT 06831-5154 | 2018-03-21 |
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| 1689070989 | Sam-car LLC | Preferred Provider Organization | 15 Church Ln, East Lyme, CT 06333-1621 | 2014-11-13 |
| 1891199931 | /wayfaring Ministries | Preferred Provider Organization | 29r Marne St Rear, Hamden, CT 06514-3628 | 2014-10-17 |
| 1457793291 | Mgda | Preferred Provider Organization | 146 Highland Ave, Waterbury, CT 06708-2761 | 2013-07-22 |
| 1710248083 | Sovereign Home Healthcare LLC | Preferred Provider Organization | 135 Burnside Ave Ste A2, East Hartford, CT 06108-3421 | 2012-06-04 |
| 1164749057 | Dr Ovanessian Treatment Center LLC | Preferred Provider Organization | 20 Church Hill Rd, Newtown, CT 06470-1657 | 2010-05-01 |
| 1598912164 | Triad Healthcare, Inc. | Preferred Provider Organization | 80 Spring Ln, Plainville, CT 06062-1151 | 2008-08-26 |
| 1891985610 | Cohen's Fashion Optical | Preferred Provider Organization | 431 Post Road East, Westport, CT 06880 | 2007-07-27 |
| 1558994319 | Focus Family Eyecare LLC | Preferred Provider Organization | 75 Freshwater Blvd, Enfield, CT 06082-3854 | 2020-02-19 |
| 1871940189 | Facilitating Growth | Preferred Provider Organization | 41 N Main St Ste 303, West Hartford, CT 06107-1929 | 2016-05-17 |
| 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.