SOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC
NPI 1013302355
Family Medicine in Monroe, NY

Active since April 03, 2015
1200 STATE ROUTE 208, MONROE, NY 10950(888) 829-8550(855) 418-9149 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Apr 27, 2021, Oct 22, 2019 (3 updates tracked since 2019).

About Southern New York Primary Care Services Ipa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC (NPI 1013302355) is a healthcare organization registered as a family medicine in Monroe, New York and active in the NPI registry since April 2015. The organization lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1013302355
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC
Location Address1200 STATE ROUTE 208Monroe, NY 10950-4648
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264 · (888) 829-8550 · Fax (855) 418-9149
Fax(855) 418-9149
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateApril 3, 2015
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1013302355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 153414
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 STATE ROUTE 208, Monroe, NY 10950

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1200 STATE ROUTE 208, SUITE 13
MONROE, NY 10950
Psychologist
1200 STATE ROUTE 208
MONROE, NY 10950
Pharmacy (Long Term Care Pharmacy)
1200 STATE ROUTE 208
MONROE, NY 10950
Pharmacy (Community/Retail Pharmacy)
1200 STATE ROUTE 208, SUITE #1
MONROE, NY 10950
Family Medicine
1200 STATE ROUTE 208
MONROE, NY 10950
Pharmacist
1200 STATE ROUTE 208, SUITE#1
MONROE, NY 10950
Pharmacist
1200 STATE ROUTE 208, SUITE 1
MONROE, NY 10950
Clinic/Center (Federally Qualified Health Center (FQHC))
1200 STATE ROUTE 208
MONROE, NY 10950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern New York Primary Care Services Ipa, LLC's NPI number?

The NPI number for Southern New York Primary Care Services Ipa, LLC is 1013302355. It was assigned to this organization in the NPPES registry on April 3, 2015.

Where is Southern New York Primary Care Services Ipa, LLC located?

Southern New York Primary Care Services Ipa, LLC is located at 1200 State Route 208, Monroe, NY 10950. The listed phone number is (888) 829-8550.

What is Southern New York Primary Care Services Ipa, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Southern New York Primary Care Services Ipa, LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.