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IVY MEDICAL GROUP PLLC
NPI 1700558798
Emergency Medicine in New York, NY

Active since September 29, 2021
885 3RD AVE FL 28, NEW YORK, NY 10022(929) 650-3990(929) 996-6230 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 23, 2026, Feb 3, 2026, Jan 19, 2026 and 13 more (16 updates tracked since 2021).

About Ivy Medical Group Pllc NPPES

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

IVY MEDICAL GROUP PLLC (NPI 1700558798) is a healthcare organization registered as an emergency medicine in New York, New York and active in the NPI registry since September 2021. The organization maintains 2 additional practice locations and lists Faige Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1700558798
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameIVY MEDICAL GROUP PLLC
Location Address885 3RD AVE FL 28New York, NY 10022-4834
Mailing Address885 3rd Ave Fl 28New York, NY 10022-4834 · (929) 650-3990 · Fax (929) 996-6230
Phone(929) 650-3990
Fax(929) 996-6230
Organization SubpartNo
Authorized OfficialFaige MillerAuthorized Official · (718) 534-0689
Enumeration DateSeptember 29, 2021
Last NPPES UpdateApril 23, 202616 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1700558798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
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.
885 3RD AVE FL 28, New York, NY 10022
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Chambers StCumberland, RI 02864-7724 · Phone (929) 650-3990 · Fax (929) 996-6230
Location 21150 W DOROTHY LNKETTERING, OH 45409-1305 · Phone (929) 650-3990 · Fax (929) 996-6230

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

212

Medicare enrollment records show 212 clinicians reassign Medicare billing to Ivy Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner200
Clinical Social Worker3
Emergency Medicine3
Mental Health Counselor2
Cardiovascular Disease (Cardiology)1
Family Practice1
Podiatry1
Psychiatry1

Nearest to this location (20)

See all 212
Damien Bailey, APRN
Nurse Practitioner
NPI 1043518087
885 3RD AVE
New York, NY 10022
(855) 766-3760
✔ PECOS✔ Accepts MedicareSame address
Diana Luciano, CRNP
Nurse Practitioner
NPI 1780331447
885 3RD AVE FL 28
New York, NY 10022
(929) 650-3990
✔ PECOS✔ Accepts MedicareSame address
Stacy Macfarlane, APRN
Nurse Practitioner
NPI 1043583032
885 3RD AVE
New York, NY 10022
(929) 650-3990
✔ PECOS✔ Accepts MedicareSame address
Nicole Simone, APN
Nurse Practitioner
NPI 1285046284
885 3RD AVE FL 28
New York, NY 10022
(305) 771-4986
✔ PECOS✔ Accepts MedicareSame address
Kellie Dearden, ARNP
Nurse Practitioner
NPI 1669662086
885 3RD AVE FL 28
New York, NY 10022
(929) 650-3990
✔ PECOS✔ Accepts MedicareSame address
Sandrine Ndetah, APRN FNP-BC
Nurse Practitioner
NPI 1639843634
489 5TH AVE FL 3
New York, NY 10017
(415) 658-6791
✔ PECOS✔ Accepts Medicare0.7 mi
Jessica Ramos, DNP
Nurse Practitioner
NPI 1043704851
169 MADISON AVE STE 2817
New York, NY 10016
(888) 553-2823
✔ PECOS1.1 mi
Michelle Segerman, FNP-BC
Nurse Practitioner
NPI 1134554132
1 PENN PLZ SUITE 725
New York, NY 10119
(212) 216-6436
✔ PECOS✔ Accepts Medicare1.3 mi
Mariama Hubbard, NP
Nurse Practitioner
NPI 1518946763
3703 BERGENLINE AVE
Union City, NJ 07087
(201) 255-0213
✔ PECOS✔ Accepts Medicare3.3 mi
Susan Samuels, FNP
Nurse Practitioner
NPI 1396031555
835 HERKIMER ST
Brooklyn, NY 11233
(914) 949-7900
✔ PECOS✔ Accepts Medicare5.9 mi
Akofa Apedo
Nurse Practitioner
NPI 1346545456
121 E CLARKE PL APT 4D
Bronx, NY 10452
(917) 400-1330
✔ PECOS✔ Accepts Medicare6.2 mi
Lalia Clarke
Nurse Practitioner
NPI 1831736552
10201 66TH RD
Forest Hills, NY 11375
(718) 830-1595
✔ PECOS✔ Accepts Medicare6.5 mi
Louise Aka Ezoua, CRNP
Nurse Practitioner
NPI 1073139325
855 3RD AVE
New York, NY 10022
(929) 650-3990
✔ PECOS✔ Accepts Medicare7.1 mi
Marie Perkowski, APN
Nurse Practitioner
NPI 1356686059
1449 37TH ST
Brooklyn, NY 11218
(973) 809-4836
✔ PECOS8.2 mi
Elizabeth Nosier-Turenne, ANP-C
Nurse Practitioner
NPI 1841701711
1371 SEABURY AVE
Bronx, NY 10461
(718) 299-7295
✔ PECOS✔ Accepts Medicare8.6 mi
Ianina Metcalf, APN
Nurse Practitioner
NPI 1447899091
30 PROSPECT AVE
Hackensack, NJ 07601
(551) 996-2000
✔ PECOS✔ Accepts Medicare9.7 mi
Kristen Szulc
Nurse Practitioner
NPI 1568004927
30 PROSPECT AVE
Hackensack, NJ 07601
(551) 996-2442
✔ PECOS✔ Accepts Medicare9.7 mi
Maria Zayas, APN
Nurse Practitioner
NPI 1770124828
30 PROSPECT AVE
Hackensack, NJ 07601
(551) 996-2000
✔ PECOS✔ Accepts Medicare9.7 mi
Bridgett Johnson, APRN
Nurse Practitioner
NPI 1629580519
1481 MCDONALD AVE FL 2
Brooklyn, NY 11230
(929) 491-7333
✔ PECOS✔ Accepts Medicare9.7 mi
Monifa Thelwell
Nurse Practitioner
NPI 1629734298
1481 MCDONALD AVE FL 2
Brooklyn, NY 11230
(929) 491-7333
✔ PECOS✔ Accepts Medicare9.7 mi
See all 212 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ivy Medical Group PLLC's NPI number?

The NPI number for Ivy Medical Group PLLC is 1700558798. It was assigned to this organization in the NPPES registry on September 29, 2021.

Where is Ivy Medical Group PLLC located?

Ivy Medical Group PLLC is located at 885 3rd Ave Fl 28, New York, NY 10022. The listed phone number is (929) 650-3990.

What is Ivy Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ivy Medical Group PLLC enrolled in Medicare?

Yes. Ivy Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivy Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 212 clinicians in 8 Medicare specialties reassign their Medicare billing to Ivy Medical Group PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (200), Clinical Social Worker (3) and Emergency Medicine (3). Of these, 5 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ivy Medical Group PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and WellSense Health Plan list Ivy Medical Group PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivy Medical Group PLLC was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.