INTEGRATED MEDICAL DIAGNOSTIC SERVICES, P.C. (NPI# 1740527993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740527993 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL DIAGNOSTIC SERVICES, P.C. |
| Practice Address |
2171 Jericho Tpke Suite 100 Commack NY 11725-2937 |
| Mailing Address |
Po Box 13023 Hauppauge NY 11788-0535 |
| Practice Telephone | 8776462228 |
| Practice Fax Number | 8779223329 |
| Mailing Telephone | 8776462228 |
| Mailing Fax Number | 8779223329 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | MICHELLE CLANCY (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Telephone | 8776462228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
180648-1 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INTEGRATED MEDICAL DIAGNOSTIC SERVICES, P.C. | 366 N. Broadway, Ste. 206, Jericho, Ny 11753 |
| Street Address |
2171 JERICHO TPKE SUITE 100 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184664641 | Ronkonkoma Medical Care, Pllc | Internal Medicine | 2171 Jericho Tpke, Suite 304, Commack, NY 11725-2915 | 2006-06-06 |
| 1821623786 | Emma Moosmueller | Counselor | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-03-10 |
| 1548894389 | Jillian Thorsen | Counselor | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-03-02 |
| 1609400571 | Alexandra Quinn | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-02-28 |
| 1942834825 | Lauren Miceli Counseling, PC | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-02-28 |
| 1659921682 | Elizabeth Jennifer Cohen | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2019-09-11 |
| 1013439132 | Shea Alvarez-cussen | Psychologist | 2171 Jericho Tpke, Suite 345, Commack, NY 11725-1172 | 2017-07-11 |
| 1386170660 | Danyel Salpietro | Psychologist | 2171 Jericho Tpke, 345, Commack, NY 11725-2937 | 2017-05-05 |
| 1871027458 | Lisa Vecchione | Social Worker | 2171 Jericho Tpke, 150, Commack, NY 11725-2937 | 2017-04-20 |
| 1376083774 | Wellspring of Life Acupuncture, PC | Acupuncturist | 2171 Jericho Tpke, Suite 135, Commack, NY 11725-2937 | 2017-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558701508 | Neda Dianati Maleki | Internal Medicine | Advanced Specialty Care- Cardiology, 500 Commack Rd, Suite 203, Commack, NY 11725 | 2013-07-03 |
| 1588002281 | Sarah S Syed | Internal Medicine | 8 Leroy Ct, Commack, NY 11725-1703 | 2013-06-05 |
| 1609227479 | Preemptive Radiological Imaging, P.C. | Internal Medicine | 2171 Jericho Tpke, Suite 100-b, Commack, NY 11725-2937 | 2016-06-23 |
| 1013377068 | Patricia Kelly Medical, P.C. | Internal Medicine | 2171 Jericho Tpke, Suite 100, Commack, NY 11725-2911 | 2016-03-03 |
| 1679959787 | Patricia Kelly Medical PC | Internal Medicine | 2171 Jericho Tpke, Suite 100, Commack, NY 11725-2937 | 2015-07-31 |
| 1144431701 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 66 Commack Rd, Commack, NY 11725-3405 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
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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.