Organization Active NPI

Integrated Resources, Inc

  • Contractor
  • Edison, NJ
National Provider Identifier
1124124995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
INTEGRATED RESOURCES, INC
Practice address
3910 Park Ave Ste 3
Edison, NJ 08820-3062
Phone
(732) 549-2030
Fax
(732) 549-5549
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary Gambhir
Title
Vice President
Phone
(732) 549-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

3910 Park Ave Ste 3
Edison, NJ 08820-3062

Mailing address

3910 Park Ave Ste 3
Edison, NJ 08820-3062
Phone (732) 549-2030

Other names 1

  • IRI REHAB STAFF Other name

National Provider Directory

National Provider Directory

Locations

3910 Park Ave
Ste 3
Edison, NJ 08820
Phone (732) 549-2030

Practitioners & affiliated clinicians

Practitioners 1

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124124995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 PARK AVE STE 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203062",
            "telephone_number": "732-549-2030",
            "fax_number": "732-549-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 PARK AVE STE 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203062",
            "telephone_number": "732-549-2030",
            "fax_number": "732-549-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBHIR",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-549-2030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRI REHAB STAFF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.