INTEGRATED MEDICAL PROFESSIONALS PLLC (NPI# 1073918009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073918009 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| Practice Address |
3111 New Hyde Park Rd New Hyde Park NY 11042-1209 |
| Mailing Address |
532 Broadhollow Rd Suite 142 Melville NY 11747-3672 |
| Practice Telephone | 6319637730 |
| Mailing Telephone | 5169310041 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2017-11-28 |
| Authorized Official Name | DEEPAK KAPOOR (CEO) |
| Authorized Official Telephone | 5169310041 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346203536 | Integrated Medical Professionals Pllc | Pathology | 340 Broadhollow Rd Ofc, Farmingdale, NY 11735 | 2006-04-10 |
| Street Address |
3111 NEW HYDE PARK RD |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200395 | Dariush Radparvar | Radiology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2006-01-21 |
| 1457799777 | Tarnima Yasmin Ahamed | Obstetrics & Gynecology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2013-06-09 |
| 1336435809 | Tiffany Christine Hunter | Obstetrics & Gynecology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2011-06-23 |
| 1801128996 | Metropolitan Urological Specialist | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2010-02-01 |
| 1679702740 | Aesthetic and Surgical Dermatology of New York, P.C. | Dermatology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2009-07-09 |
| 1841424009 | Dorene Marinese | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2009-05-03 |
| 1114108073 | David Cooper Md PC | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2007-11-20 |
| 1871713156 | Carole Hazan | Dermatology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2007-04-27 |
| 1093816605 | Elizabeth Femenia | Physician Assistant | 3111 New Hyde Park Rd, New Hyde Park, NY 11040 | 2006-09-26 |
| 1508961814 | Carl A Olsson | Specialist | 3111 New Hyde Park Rd, First Floor, New Hyde Park, NY 11042-1209 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041426 | B & R Wholesale, LLC | Non-Pharmacy Dispensing Site | 3858 Nostrand Ave Ste 203, Brooklyn, NY 11235-2038 | 2020-01-02 |
| 1508417221 | Eyeconic Vision Brownsville Inc | Non-Pharmacy Dispensing Site | 9617 Church Ave, Brooklyn, NY 11212-2443 | 2019-09-24 |
| 1588180343 | Incubizness, Inc. | Non-Pharmacy Dispensing Site | 717 Church St, Medina, NY 14103-1618 | 2017-08-14 |
| 1649722976 | Eyeconic Vision Group Inc | Non-Pharmacy Dispensing Site | 248 W 116th St, New York, NY 10026-2406 | 2016-11-03 |
| 1134585292 | Applied Sciences Edi Corp | Non-Pharmacy Dispensing Site | 3825 Bell Blvd, Bayside, NY 11361-3368 | 2016-01-05 |
| 1790168656 | Otc Mobile Stores | Non-Pharmacy Dispensing Site | 600 E 132nd St, Bronx, NY 10454-4639 | 2015-07-09 |
| 1235520271 | Allied Medical and Diagnostic Services, Dispensary | Non-Pharmacy Dispensing Site | 1410 Broadway, 23rd Floor, New York, NY 10018 | 2015-02-12 |
| 1083012348 | Add 2 Subtract LLC | Non-Pharmacy Dispensing Site | 22 Legendary Cir, Rye Brook, NY 10573-1077 | 2014-12-18 |
| 1912302233 | Performance Medical Services Pllc | Non-Pharmacy Dispensing Site | 70 E 55th St, 2nd Fl., New York, NY 10022-3222 | 2014-10-29 |
| 1346568730 | Hero Direct Inc | Non-Pharmacy Dispensing Site | 889 Waverly Ave, Holtsville, NY 11742-1109 | 2010-05-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.