Ian St. John Newcomb
Driver in Rochester, NY. Individual provider (NPI-1).
NPI number1467136705
StatusActive
Last updated in NPPESJun 14, 2023
Details
- NPI
- 1467136705
- Entity type
- Individual (NPI-1)
- Name
- Ian St. John Newcomb
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2023
- Certification date
- Jun 14, 2023
- Last updated
- Jun 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 953682180 | NY | Yes |
Practice location
2220 S Clinton AveRochester, NY 14618-2622
Phone 585-469-9582
Mailing address
2220 S Clinton AveRochester, NY 14618-2622
Phone 585-469-9582
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 Driver providers in Rochester · All 22,972 providers in Rochester
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