NPIMap

Organization Active NPI

Intregrated Medical Services of Long Island ,PC

Doing business as mid island multi medicine group

  • Rehabilitation Clinic/Center
  • Levittown, NY
National Provider Identifier
1023364353
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
194295 Issued in NY
Legal business name
INTREGRATED MEDICAL SERVICES OF LONG ISLAND ,PC
Doing business as
mid island multi medicine group
Practice address
2900 Hempstead Tpke
#203
Levittown, NY 11756-1404
Phone
(516) 731-0303
Fax
(516) 731-6302
NPI assigned
Jul 24, 2012
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Beth Marie Massey, DONPI 1063437200
Title
Owner
Phone
(516) 314-3344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 194295 NY Primary

Addresses

Primary practice location

2900 Hempstead Tpke
#203
Levittown, NY 11756-1404

Mailing address

2900 Hempstead Tpke
#203
Levittown, NY 11756-1404
Phone (516) 731-0303

Other names 1

  • mid island multi medicine group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1023364353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HEMPSTEAD TPKE",
            "address_2": "#203",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561404",
            "telephone_number": "516-731-0303",
            "fax_number": "516-731-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HEMPSTEAD TPKE",
            "address_2": "#203",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561404",
            "telephone_number": "516-731-0303",
            "fax_number": "516-731-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREGRATED MEDICAL SERVICES OF LONG ISLAND ,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-314-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "194295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mid island multi medicine group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.