INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC (NPI# 1942819834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942819834 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC |
| Practice Address |
30 Central Park S Rm 4c New York NY 10019-1628 |
| Practice Telephone | 2123710360 |
| Mailing Telephone | 2123710360 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | DR. MARYAM EDALAT (OWNER) |
| Authorized Official Telephone | 2123710360 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 405300000X | Prevention Professional | Other Service Providers | ||
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| INTEGRATIVE MIND BODY DENTAL TELEHEALTH LLC | Doing Business As Name - Organization |
| Street Address |
30 CENTRAL PARK S RM 4C |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891969754 | Maryam Edalat D.d.s., PC | Dentist | 30 Central Park S Rm 4c, New York, NY 10019-1628 | 2008-04-22 |
| 1881257517 | Dr Arya Edalat Dentist PC | Dentist | 30 Central Park S Rm 4c, New York, NY 10019-1628 | 2019-04-18 |
| 1487828349 | Maryam Edalat | Dentist | 30 Central Park S Rm 4c, New York, NY 10019-1628 | 2008-04-22 |
| 1245404102 | Parviz M Edalat | Dentist | 30 Central Park S Rm 4c, New York, NY 10019-1628 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516972 | Sophia Aslanis | Nutritionist | 57 W 57th St Ste 900, New York, NY 10019-2813 | 2020-07-27 |
| 1174039606 | Charles A Mccoy | Nutritionist | 161 Madison Ave Ste &se, New York, NY 10016-5421 | 2017-12-20 |
| 1760929905 | Lara Zakaria | Nutritionist | 611 W163rd St #24, New York, NY 10032 | 2017-01-26 |
| 1912304379 | Haley Knauer | Nutritionist | 416 E 9th St, #4, New York, NY 10009-4913 | 2014-12-01 |
| 1326454620 | Lisa Farley | Nutritionist | 125 W 70th St, 3b, New York, NY 10023-4424 | 2014-07-08 |
| 1669715678 | Jessica Cording | Nutritionist | 119 W 72nd St # 330, New York, NY 10023-3201 | 2013-03-28 |
| 1033353073 | Cynthia Barrett | Nutritionist | 132 E 17th St Apt 31, New York, NY 10003-3463 | 2009-04-21 |
| 1255891420 | Shonali Soans | Nutritionist | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2019-03-22 |
| 1205281136 | Nutritious Plate Inc. | Nutritionist | 180 W End Ave, Apt 15g, New York, NY 10023-4902 | 2016-04-28 |
| 1609273861 | Felicia Benincasa | Nutritionist | 1249 5th Ave, New York, NY 10029-4413 | 2014-12-03 |
| Find all providers in NEW YORK | ||||
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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.