Provider Demographics
NPI:1679750178
Name:HEALTH NET INSURANCE OF NEW YORK, INC. PFFS-NY
Entity Type:Organization
Organization Name:HEALTH NET INSURANCE OF NEW YORK, INC. PFFS-NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V. P.,, SECRETARY AND PLAN COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEMPF
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:203-225-8576
Mailing Address - Street 1:150 E 42ND ST FL 26
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5634
Mailing Address - Country:US
Mailing Address - Phone:800-848-4747
Mailing Address - Fax:818-676-7754
Practice Address - Street 1:ONE FAR MILL CROSSING
Practice Address - Street 2:MAIL STOP: CT-900-04-57
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6121
Practice Address - Country:US
Practice Address - Phone:800-848-4747
Practice Address - Fax:818-676-7754
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH NET, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service