NPIMap

Organization Active NPI

Integrated Rheumatology Care PLLC

  • Rheumatology Physician
  • Goshen, NY
National Provider Identifier
1265119176
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
INTEGRATED RHEUMATOLOGY CARE PLLC
Practice address
2002 Route 17M Ste 7
Goshen, NY 10924-5236
Phone
(845) 200-2995
Fax
(845) 210-5787
NPI assigned
Jul 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Cabas Vargas M Jenny, MD
Title
Member
Phone
(917) 344-9983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

2002 Route 17M Ste 7
Goshen, NY 10924-5236

Mailing address

2002 Route 17M Ste 7
Goshen, NY 10924-5236
Phone (845) 200-2995

National Provider Directory

National Provider Directory

Locations

2002 Route 17M
Ste 7
Goshen, NY 10924
Phone (845) 200-2995

Practitioners & affiliated clinicians

Practitioners 2

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": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1265119176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 ROUTE 17M STE 7",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245236",
            "telephone_number": "845-200-2995",
            "fax_number": "845-210-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ROUTE 17M STE 7",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245236",
            "telephone_number": "845-200-2995",
            "fax_number": "845-210-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED RHEUMATOLOGY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "JENNY",
        "authorized_official_first_name": "CABAS VARGAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-344-9983",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.