Active NPI
Internal Medicine and Geriatrics Associates PLLC
- Internal Medicine Physician
- Holbrook, NY
National Provider Identifier
1235376153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE AND GERIATRICS ASSOCIATES PLLC
- Practice address
- 233 Union Ave Ste 206
Holbrook, NY 11741-1821 - Phone
- (631) 588-4888
- Fax
- (631) 555-4840
- NPI assigned
- Jan 14, 2009
- 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
- Mrs. Melissa McCormick
- Title
- Office Manger
- Phone
- (631) 588-4888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
233 Union Ave Ste 206
Holbrook, NY 11741-1821
Mailing address
233 Union Ave Ste 206
Holbrook, NY 11741-1821
Phone (631) 588-4888
National Provider Directory
National Provider Directory- Tax ID family
- Internal Medicine and Geriatrics Associates PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Holbrook, NY
- NPI 1659589273
Locations
233 Union Ave
Ste 206
Holbrook, NY 11741
Phone (516) 248-6626
205 E Main St
Ste 2-6
Huntington, NY 11743
Phone (631) 923-2370
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Holbrook, NY
- NPI 1235214271
-
- Internal Medicine Physician
- Huntington, NY
- NPI 1902981947
-
- Internal Medicine Physician
- Huntington, NY
- NPI 1497849616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648684800000",
"number": "1235376153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 UNION AVE STE 206",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117411821",
"telephone_number": "631-588-4888",
"fax_number": "631-588-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 UNION AVE STE 206",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117411821",
"telephone_number": "631-588-4888",
"fax_number": "631-555-4840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE AND GERIATRICS ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-14",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OFFICE MANGER",
"authorized_official_telephone_number": "631-588-4888",
"authorized_official_name_prefix": "Mrs."
},
"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 Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.