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FAMILY MEDICINE ASSOCIATES- BRENTWOOD
NPI 1376950352
Non-Pharmacy Dispensing Site in Ithaca, NY

Active since July 22, 2014
8 BRENTWOOD DR, ITHACA, NY 14850(607) 277-4341 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medicine Associates- Brentwood NPPES

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

FAMILY MEDICINE ASSOCIATES- BRENTWOOD (NPI 1376950352) is a healthcare organization registered as a non-pharmacy dispensing site in Ithaca, New York and active in the NPI registry since July 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1376950352
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAMILY MEDICINE ASSOCIATES OF ITHACA
Location Address8 BRENTWOOD DRIthaca, NY 14850-1871
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Phone(607) 277-4341
Organization SubpartYesParent: Medvantx, Inc
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateJuly 22, 2014
Last NPPES UpdateJanuary 4, 2016
✔ NPI 1376950352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in NY · 126988
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
8 BRENTWOOD DR, Ithaca, NY 14850
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Other Names 1

Doing Business AsFamily Medicine Associates- Brentwood

Other Providers at the Same Location NPPES 9

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

DR. JAMES S GAFFNEY M.D.
Psychiatry & Neurology (Neurology)
8 BRENTWOOD DR, SUITE B
ITHACA, NY 14850
Tompkins County (607) 273-6757
DR. ZIJIN CHENG MD
Family Medicine
8 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (657) 272-1717
DR. JODY M STACKMAN M.D.
Psychiatry & Neurology (Neurology)
8 BRENTWOOD DR, SUITE B
ITHACA, NY 14850
Tompkins County (607) 273-6757
DR. SERENA H. YOON MD
Internal Medicine
8 BRENTWOOD DR, SUITE B
ITHACA, NY 14850
Tompkins County (607) 266-7500
DR. LINDA RADOMSKI MD
Internal Medicine
8 BRENTWOOD DR, SUITE B
ITHACA, NY 14850
Tompkins County (607) 266-7500
NICOLE ANN SERRANO FNP
Nurse Practitioner
8 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 277-4341
MICHAEL SLATTERY MD
Psychiatry & Neurology (Sleep Medicine)
8 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 273-6757
DR. DEANA BONNO M.D.
Psychiatry & Neurology (Neurology)
8 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 273-6757

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 Family Medicine Associates Of Ithaca's NPI number?

The NPI number for Family Medicine Associates Of Ithaca is 1376950352. It was assigned to this organization in the NPPES registry on July 22, 2014. The provider is doing business as Family Medicine Associates- Brentwood.

Where is Family Medicine Associates Of Ithaca located?

Family Medicine Associates Of Ithaca is located at 8 Brentwood Dr, Ithaca, NY 14850. The listed phone number is (607) 277-4341.

What is Family Medicine Associates Of Ithaca's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Family Medicine Associates Of Ithaca was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.