Organization Active NPI

Evidence Based Medicine Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Woodbury, NY
National Provider Identifier
1275877516
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
118187 Issued in NY
Legal business name
EVIDENCE BASED MEDICINE INC
Practice address
165 Froehlich Farm Blvd
Woodbury, NY 11797-2906
Phone
(516) 801-0170
Fax
(845) 230-6639
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Dr. Ron Innerfield, M.D.
Title
VP
Phone
(518) 392-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 118187 NY Primary

Addresses

Primary practice location

165 Froehlich Farm Blvd
Woodbury, NY 11797-2906

Mailing address

PO Box 54
Austerlitz, NY 12017-0054
Phone (518) 392-2339

National Provider Directory

National Provider Directory

Locations

165 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 364-7405

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1275877516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "AUSTERLITZ",
            "state": "NY",
            "postal_code": "120170054",
            "telephone_number": "518-392-2339",
            "fax_number": "845-230-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972906",
            "telephone_number": "516-801-0170",
            "fax_number": "845-230-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENCE BASED MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "INNERFIELD",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "518-392-2339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "118187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.