EASTERN INTEGRATIVE MEDICAL SERVICES, P.C. (NPI# 1396061586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396061586 |
| Entity Type | Organization |
| Organization Name | EASTERN INTEGRATIVE MEDICAL SERVICES, P.C. |
| Practice Address |
152 Madison Ave Suite 1700 New York NY 10016-5424 |
| Practice Telephone | 2128896540 |
| Practice Fax Number | 2128894987 |
| Mailing Telephone | 2128896540 |
| Mailing Fax Number | 2128894987 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | DR. XIAO-KE GAO (PRESIDENT) |
| Authorized Official Telephone | 2128896540 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A-04338-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
152 MADISON AVE SUITE 1700 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538135975 | Luke Hadge | Psychologist | 152 Madison Ave, Suite 1000, New York, NY 10016-5424 | 2006-02-26 |
| 1275954638 | Anita Avila | Audiologist | 152 Madison Ave, 1104, New York, NY 10016-5424 | 2014-01-02 |
| 1649547308 | Lanie Velasco | Physical Therapist | 152 Madison Ave, Suite 1700, New York, NY 10016-5424 | 2011-11-23 |
| 1659690402 | George Ian Yu Namoc | Physical Therapist | 152 Madison Ave, Suite 1700, New York, NY 10016-5424 | 2010-05-19 |
| 1669705547 | Primary Audiological Services P.C. | Audiologist | 152 Madison Ave, New York, NY 10016-5424 | 2009-09-10 |
| 1972762078 | Erica Meinhardt | Counselor | 152 Madison Ave, Suite 1000, New York, NY 10016-5424 | 2008-06-03 |
| 1568686426 | Eli Nebres Fontanilla | Physical Therapist | 152 Madison Ave, Suite 1700, New York, NY 10016-5424 | 2007-04-12 |
| 1144384694 | Lisa Marie Defeciani | Social Worker | 152 Madison Ave, Suite 1000, New York, NY 10016-5424 | 2006-12-20 |
| 1043396765 | Jane Seff | Social Worker | 152 Madison Ave, Suite 1000, New York, NY 10016-5424 | 2006-10-27 |
| 1467498998 | Leslie A. Radel | Social Worker | 152 Madison Ave, Suite 1000, New York, NY 10016-5424 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1902344260 | First Columbus Medical PC | Psychiatry & Neurology | 160 W 66th St Apt 22j, New York, NY 10023-6558 | 2017-02-07 |
| 1184073942 | Rachel Joy Schindler | Psychiatry & Neurology | 325 E 79th St Apt 9e, New York, NY 10075-0983 | 2016-06-11 |
| 1487003505 | Jina Park | Psychiatry & Neurology | 462 1st Ave Fl 7, New York, NY 10016-9196 | 2016-06-09 |
| 1043697709 | Benjamin John Dorfman | Psychiatry & Neurology | 5 E 98th St # 1637, New York, NY 10029-6501 | 2015-05-01 |
| 1275928392 | Kathryn Trinh Rimmer | Psychiatry & Neurology | 710 W 168th St Ste 2-212, New York, NY 10032-3726 | 2015-04-06 |
| 1013302819 | Ling Pan | Psychiatry & Neurology | 530 1st Ave Ste 8s, New York, NY 10016-6402 | 2015-03-30 |
| 1710372636 | Alexander Allen | Psychiatry & Neurology | 555 Madison Avenue, Third Floor, New York, NY 10022-6402 | 2015-03-30 |
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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.