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SOMATUS EMPIRE STATE IPA, LLC
NPI 1184358210
Internal Medicine - Nephrology in Bohemia, NY

Active since July 14, 2022
80 ORVILLE DR STE 100, BOHEMIA, NY 11716(571) 992-0600 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Somatus Empire State Ipa, Llc NPPES

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

SOMATUS EMPIRE STATE IPA, LLC (NPI 1184358210) is a healthcare organization registered as a nephrology in Bohemia, New York and active in the NPI registry since July 2022. The organization lists Alicia J Palmer, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1184358210
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOMATUS EMPIRE STATE IPA, LLC
Location Address80 ORVILLE DR STE 100Bohemia, NY 11716-2505
Mailing Address1861 International Dr Ste 600Mc Lean, VA 22102-4420
Phone(571) 992-0600
Organization SubpartNo
Authorized OfficialAlicia J PalmerAuthorized Official · (202) 236-7061
Enumeration DateJuly 14, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1184358210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedCase ManagementTaxonomy 251B00000X
80 ORVILLE DR STE 100, Bohemia, NY 11716
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Other Providers at the Same Location NPPES 17

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

HEALTH NEXUS INC
Durable Medical Equipment & Medical Supplies
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (212) 518-1272
PEGASUS DME INC
Prosthetic/Orthotic Supplier
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (516) 680-0433
MR. PEDRO ANTONIO RAMOS
Case Manager/Care Coordinator
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (917) 406-8123
MELINDA CLARKE MS, RN, FNP, PMHNP
Nurse Practitioner
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (631) 500-5925
JOSEPH CONKLIN LCSW, CASAC
Social Worker (Clinical)
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (419) 581-9810
MISS ASHLEY ANN VIAUD MHC
Counselor (Mental Health)
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (631) 562-5185
SOMATUS IPA, LLC
Case Management
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (571) 992-0600
MR. RON GELMAN LMHC
Counselor (Mental Health)
80 ORVILLE DR STE 100
BOHEMIA, NY 11716
Suffolk County (631) 408-1124

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 Somatus Empire State Ipa, LLC's NPI number?

The NPI number for Somatus Empire State Ipa, LLC is 1184358210. It was assigned to this organization in the NPPES registry on July 14, 2022.

Where is Somatus Empire State Ipa, LLC located?

Somatus Empire State Ipa, LLC is located at 80 Orville Dr Ste 100, Bohemia, NY 11716. The listed phone number is (571) 992-0600.

What is Somatus Empire State Ipa, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Somatus Empire State Ipa, LLC was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.