NPIMap

Organization Active NPI

Integrated Family Medicine

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1124150099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRATED FAMILY MEDICINE
Practice address
94 Brick Rd
Suite 105
Marlton, NJ 08053-2179
Phone
(856) 988-0444
NPI assigned
Mar 9, 2007
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
Dr. Polina Karmazin, MD
Title
President
Phone
(856) 988-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

94 Brick Rd
Suite 105
Marlton, NJ 08053-2179

Mailing address

94 Brick Rd
Suite 105
Marlton, NJ 08053-2179
Phone (856) 988-0444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124150099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BRICK RD",
            "address_2": "SUITE 105",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532179",
            "telephone_number": "856-988-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BRICK RD",
            "address_2": "SUITE 105",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532179",
            "telephone_number": "856-988-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARMAZIN",
        "authorized_official_first_name": "POLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-988-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, 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.