Integrated Medicine of Mount Kisco PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

227852 Issued in NY

Legal business name

INTEGRATED MEDICINE OF MOUNT KISCO PLLC

Practice address

495 E Main St
Mount Kisco, NY 10549-3405

Phone

(914) 242-8844

Fax

(917) 536-9787

NPI assigned

Jul 1, 2014

Organization subpart

No

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

Authorized official

Name

Nilay R Shah, M.D.

Title

Owner

Phone

(917) 412-8537

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1275949026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493405",
            "telephone_number": "914-242-8844",
            "fax_number": "917-536-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493405",
            "telephone_number": "914-242-8844",
            "fax_number": "917-536-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICINE OF MOUNT KISCO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NILAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-412-8537",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "227852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Howard Hughes IV, LCSW
• Humphries Third, LLC
• Gerald H Hyman, D.M.D.
• Francesca Imbruglia
• Michelle Rose Imbruglia, WHNP-BC
• Mark Ipri, CASAC-T
• Sandra Ivanov, DO
• Joan B. Jablow, MS, APRN, NP
• Marilyn F Jacobowitz, MD
• Jason David Jacobs, M.D.

• Clinic/Center in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.