Organization Active NPI

Internal Medicine and Geriatrics Associates PLLC

  • Internal Medicine Physician
  • Holbrook, NY
National Provider Identifier
1235376153
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Mar 31, 2022

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.