NPIMap

Organization Active NPI

Integrated Medical Professionals PLLC

  • Non-Pharmacy Dispensing Site
  • New Hyde Park, NY
National Provider Identifier
1073918009
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
INTEGRATED MEDICAL PROFESSIONALS PLLC
Practice address
3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209
Phone
(631) 963-7730
NPI assigned
Nov 4, 2014
Last updated
Jun 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATED MEDICAL PROFESSIONALS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

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

Authorized official

Name
James J Weber, MDNPI 1740266196
Title
Owner
Phone
(214) 424-2213

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
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209

Mailing address

1 Hollow LN Ste 206
New Hyde Park, NY 11042-1215
Phone (516) 931-0041

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1037115Integrated Medical Professionals, PLLC - Obp 31113111 New Hyde Park Road, New Hyde Park, NY 11042Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Integrated Med Prof PLLC28 organizations share this tax ID, including this one
Part of
Integrated Med Prof PLLC

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

532 Broadhollow Rd
Ste 142
Melville, NY 11747

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782000000000",
    "number": "1073918009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 206",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-931-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421209",
            "telephone_number": "631-963-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL PROFESSIONALS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED MEDICAL PROFESSIONALS PLLC",
        "enumeration_date": "2014-11-04",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-424-2213",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.