Active NPI
Ilant Medical Group KS PA
- Obesity Medicine (Preventive Medicine) Physician
- New York, NY
National Provider Identifier
1235907668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Preventive Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 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 DirectoryNPI 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.