NPIMap

Organization Active NPI

Intergral Medical Health Wellness PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1033685011
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
INTERGRAL MEDICAL HEALTH WELLNESS PLLC
Doing business as
Intergral Medical Health Wellness PLLC
Practice address
119 5TH Ave FL 2
New York, NY 10003-1007
Phone
(212) 533-8888
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
David A Colbert, MDNPI 1790848729
Title
Ceo
Phone
(212) 533-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

119 5TH Ave FL 2
New York, NY 10003-1007

Mailing address

119 5TH Ave FL Avenue2
New York, NY 10003-1007
Phone (212) 533-8888

Other names 1

  • Intergral Medical Health Wellness PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

119 5th Ave
Fl 2
New York, NY 10003
Phone (212) 533-8888

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1033685011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 5TH AVE FL AVENUE2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031007",
            "telephone_number": "212-533-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031007",
            "telephone_number": "212-533-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGRAL MEDICAL HEALTH WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-533-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intergral Medical Health Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.