Nanuet Medical Professionals, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

128583 Issued in NY

Legal business name

NANUET MEDICAL PROFESSIONALS, LLC

Practice address

36 College Ave
Nanuet, NY 10954-3093

Phone

(845) 623-2456

Fax

(845) 623-6420

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Thomas Ingrassia, MD

Title

Physician/Owner

Phone

(845) 623-2456

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1073700076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 COLLEGE AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543093",
            "telephone_number": "845-623-2456",
            "fax_number": "845-623-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 COLLEGE AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543093",
            "telephone_number": "845-623-2456",
            "fax_number": "845-623-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANUET MEDICAL PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "INGRASSIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "845-623-2456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "128583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00410206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniela Naclerio, MS, OTR/L
• Nancy J. Schiffman, OD PC.
• Nanuet Community Ambulance Corps, Inc.
• Nanuet Family Dentistry
• Nanuet Mall Dental, P.C.
• Nanuet Medical Services, P.C.
• Nanuet Union Free School District
• Nanuet Vision Center
• Mohammed Naqvi
• Anna Narcisse, LPN

• Family Medicine Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.