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PORT CITY EMERGENCY PHYSICIANS LLP NPI 1669721296


NPI Information

NPI: 1669721296
Provider Name: PORT CITY EMERGENCY PHYSICIANS LLP
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
3045 EAST AVE
CENTRAL SQUARE, NY
ZIP 13036
Phone: (866) 916-5259
Get Directions

PORT CITY EMERGENCY PHYSICIANS LLP is an emergency medicine in Central Square, NY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. PORT CITY EMERGENCY PHYSICIANS LLP NPI is 1669721296. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3045 EAST AVE
CENTRAL SQUARE, NY
ZIP 13036-502
Phone: (866) 916-5259
Fax: (231) 922-4030

The provider's authorized official is Bruce Whitman .
The authorized official title is Managing Partner and has the following contact phone number (337) 609-1221.

The enumeration date for this NPI number is 8/29/2012 and was last updated on 1/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1J100000030OTHERNEW YORKMEDICARE PIN
2DO1413OTHERNEW YORKRR MCR
303520683MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.