Active NPI
Evidence Based Medicine Inc
- Endocrinology, Diabetes & Metabolism Physician
- Woodbury, NY
National Provider Identifier
1275877516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 118187
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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 DirectoryLocations
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Glen Cove, NY
- NPI 1528304342
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.