Active NPI
Impact Health Medical Care PC
- Internal Medicine Physician
- Valley Stream, NY
National Provider Identifier
1225934953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- IMPACT HEALTH MEDICAL CARE PC
- Practice address
- 20 E Sunrise Hwy
Valley Stream, NY 11581-1260 - Phone
- (206) 809-1019
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Buxaum
- Title
- Owner
- Phone
- (206) 809-1019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
20 E Sunrise Hwy
Valley Stream, NY 11581-1260
Mailing address
240 Indian River Rd Ste C7
Orange, CT 06477-3691
National Provider Directory
National Provider DirectoryLocations
20 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 705-4815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792368000000",
"number": "1225934953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 INDIAN RIVER RD STE C7",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E SUNRISE HWY",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811260",
"telephone_number": "206-809-1019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT HEALTH MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A",
"authorized_official_last_name": "BUXAUM",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-809-1019"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.