Southern New York Primary Care Services Ipa, LLC
NPI 1013302355 · Family Medicine Physician · Monroe, NY
Southern New York Primary Care Services Ipa, LLC is a Family Medicine Physician organization in Monroe, NY (NPI 1013302355).
Provider details
- NPI number
- 1013302355
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vaxcare Corporation
- Organization subpart
- Yes
- Authorized official
- Brett Kenefick, President(888) 829-8550
- License
- 153414 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-03
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Frequently asked questions
- What is Southern New York Primary Care Services Ipa, LLC's NPI number?
- Southern New York Primary Care Services Ipa, LLC's National Provider Identifier (NPI) is 1013302355, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern New York Primary Care Services Ipa, LLC?
- Southern New York Primary Care Services Ipa, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern New York Primary Care Services Ipa, LLC located?
- Southern New York Primary Care Services Ipa, LLC's practice location on file with NPPES is 1200 State Route 208, Monroe, NY 10950-4648.
- What is Southern New York Primary Care Services Ipa, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern New York Primary Care Services Ipa, LLC is (888) 829-8550.
- Who is the authorized official for Southern New York Primary Care Services Ipa, LLC?
- The authorized official listed on Southern New York Primary Care Services Ipa, LLC's NPPES record is Brett Kenefick, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern New York Primary Care Services Ipa, LLC's NPI active?
- Yes — Southern New York Primary Care Services Ipa, LLC's NPI (1013302355) is active in the NPPES registry as of the last update on 2026-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.