Ime Med

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IME MED

Practice address

227 Mount Pleasant Rd
Hauppauge, NY 11788-2709

Phone

(631) 223-9479

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Ehsan Butt

Title

Administrator

Phone

(631) 838-5320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1225645641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MOUNT PLEASANT RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882709",
            "telephone_number": "631-223-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MOUNT PLEASANT RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882709",
            "telephone_number": "631-223-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IME MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-838-5320"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Ibraham, JD, PHD, CASAC-M/G
• Shaheda Ahmed Iftikhar, MD
• Yelena Iglanova, MD
• Gianna Ilacqua
• Noel Im, CNIM
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• Internal Medicine Assoc. of Smithtown,P.C.
• Irta Massage
• Island Home Care Agency, Inc

• Clinic/Center in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.