Immune Therapy Products, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

PENDING Issued in NY

Legal business name

IMMUNE THERAPY PRODUCTS, LLC

Practice address

25 Morningstar Rd
Staten Island, NY 10303-2808

Phone

(718) 556-5001

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roberta L Hayes, PH.D.

Title

Laboratory Director

Phone

(718) 556-5001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164568002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HARBOR VIEW PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MORNINGSTAR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032808",
            "telephone_number": "718-556-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNE THERAPY PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "718-556-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mary Imbemba, LMHC
• Steven Imberman, DDS
• Alexandra Imbruglia, M.S. CCC-SLP
• Luigina Marie Imburgia, RN
• Adriana Imerovski
• Vera Imoukhuede
• Daniela Imperato
• Gabriella Marie Imperato, M.S CF SLP
• John Imperio, MD
• Alexander Improta

• Clinical Medical Laboratory in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Medical Laboratory in New York

• 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.