Organization Active NPI

Ilant Medical Group KS PA

  • Obesity Medicine (Preventive Medicine) Physician
  • New York, NY
National Provider Identifier
1235907668
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
ILANT MEDICAL GROUP KS PA
Practice address
1280 5TH Ave Apt 12D
New York, NY 10029-7810
Phone
(201) 308-3903
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Jess Muse
Title
Coo
Phone
(201) 308-3903

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

1280 5TH Ave Apt 12D
New York, NY 10029-7810

Mailing address

2093 Philadelphia Pike # 4289
Claymont, DE 19703-2424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1235907668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 PHILADELPHIA PIKE # 4289",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 5TH AVE APT 12D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297810",
            "telephone_number": "201-308-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILANT MEDICAL GROUP KS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-308-3903"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.