Ivy Medical Group PLLC
NPI 1700558798 · Emergency Medicine Physician · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Medical Group PLLC is a Emergency Medicine Physician organization in New York, NY (NPI 1700558798).
Provider details
- NPI number
- 1700558798
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Faige Miller, Authorized Official(718) 534-0689
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
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 1150 W Dorothy LnKettering, OH 45409-1305Phone: (929) 650-3990Fax: (929) 996-6230
- 100 Chambers StCumberland, RI 02864-7724Phone: (929) 650-3990Fax: (929) 996-6230
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is Ivy Medical Group PLLC's NPI number?
- Ivy Medical Group PLLC's National Provider Identifier (NPI) is 1700558798, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Medical Group PLLC?
- Ivy Medical Group PLLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ivy Medical Group PLLC located?
- Ivy Medical Group PLLC's practice location on file with NPPES is 885 3rd Ave Fl 28, New York, NY 10022-4834.
- What is Ivy Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ivy Medical Group PLLC is (929) 650-3990.
- Does Ivy Medical Group PLLC accept Medicare?
- Ivy Medical Group PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ivy Medical Group PLLC?
- The authorized official listed on Ivy Medical Group PLLC's NPPES record is Faige Miller, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Medical Group PLLC's NPI active?
- Yes — Ivy Medical Group PLLC's NPI (1700558798) is active in the NPPES registry as of the last update on 2026-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.