Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Medical Group PLLC

Organization Emergency Medicine Physician · NPI 1700558798

Ivy Medical Group PLLC is an Emergency Medicine Physician in New York, New York. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

885 3rd Ave Fl 28
New York, NY 10022-4834
Phone: (929) 650-3990
Fax: (929) 996-6230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1150 W Dorothy Ln, Kettering, OH 45409-1305 — (929) 650-3990
  • 100 Chambers St, Cumberland, RI 02864-7724 — (929) 650-3990

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1700558798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Faige Miller — Authorized Official · (718) 534-0689
NPI enumeratedSeptember 29, 2021
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address885 3rd Ave Fl 28, New York, NY 10022-4834

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