Attachment II
Statewide Provider IDs
PID
PROVIDER ID
PROVIDER NAME
82
00477156
Affinity Health Plan
CG
01183013
Capital District Physicians' Health Plan, Inc
HY
01202822
Emblem
Nassau, Orange, Rockland,
Suffolk, Westchester, NYC
Alba, Broo, Colu, Fult, Gree,
Mont, Rens, Sara, Sche, Scho,
Tiog, Wash
Nassau
HW
01131584
Emblem
Westchester
99
00313979
Emblem/Greater New York Health INS Plan
MR
00477023
Excellus HP
OH/SF
01479670
Health First PHSP, INC.
C2
01249265
HealthNow NY
KP
01617894
HealthPlus Amerigroup
Broo, Herk, Livi, Monr, Onei,
Onta, Orle, Otse, Sene, Wayn,
Yates
Nassau, Suffolk,NYC
Alle, Catta, Chau, Erie, Orle,
Wyom
Nass, Putn, NYC
HH
00477207
Hudson Health Plan
Dutc, Oran, Rock, Sull, Ulst, West
IE
01208997
Independent Health Association
Erie, Niag
92
894519
Metro- Plus (Metropolitan Health Plus)
MV
01111375
MVP Health Plan
SP
1751046
New York State Catholic Health Plan / Fidelis
SP
1421250
New York State Catholic Health Plan / Fidelis
TO
03685774
Total Care a Today’s Option
MO
01403176
United Healthcare of NY INC. - MetLife
OZ
01659989
Univera Community Health
WC
01182503
Wellcare of New York, INC
New York City
Alba,Gene, Jeff, Livi, Monr, Onta,
Rensselaer, Saratoga, Schenectady,
Warren
Alba, Alle, Broo, Catt, Cay, Chem,
Chen, Colu, Cort, Dele, Erie,
Frank, Gene, Gree, Jeff, Lewi,
Livi, Madi, Monr,Nass, Niag,
Onei, Onon, Ont, Orlea, Oswe,
Otse, Putn, Rens, Rock, Scho,
Schu, Sene, St. Law, Steu, Suff,
Tio, Tomp, Wayn, Westc, Wyom,
Yates,NYC
Chau, Clin, Dutc, Esse, Fult, Hami,
Herk, Mont, Oran, Sara, Schen,
Sulli, Ulst, Warren, Wash
Cort, Onon, Tomp
Alba, Broo, Cayu, Chau, Chem,
Chen, Clin, Colu, Esse, Fult, Gene,
Herk, Jeff, Lewi, Madi,
Monr,Nass, Niag, Onei, Onon,
Ont, Oran, Oswe, Rens, Rock,
Sene, St. Law, Suff, Tio, Ulst,
Warre, Wayn, Westc,NYC
Alle, Catta, Chau, Erie
Alb, Dutc, Erie, Oran, Rens, Rock,
Ulst, NYC
District
New York City, Suffolk