Innovative Medical Healthcare PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

255197 Issued in NY

Legal business name

INNOVATIVE MEDICAL HEALTHCARE PC

Practice address

25020 Hillside Ave
Bellerose, NY 11426-2149

Phone

(718) 343-0474

NPI assigned

Jul 12, 2013

Last updated

Jul 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Usman Saleem, M.D.NPI 1225203367

Title

Owner

Phone

(516) 633-1439

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Usman Saleem, MD, MSPT

  • Interventional Pain Medicine Physician
  • Bellerose, NY
  • NPI 1225203367
  Medicare reassignment NPD Authorized official
• Ali Saleem, D.O.

  • Diagnostic Radiology Physician
  • New Hyde Park, NY
  • NPI 1639448020
  Medicare reassignment NPD

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1295176758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25020 HILLSIDE AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262149",
            "telephone_number": "718-343-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "USMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-633-1439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "255197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ta-Wei Hsiao
• Tian Huang, AGPCNP-BC, MSN
• Patricia Igharosa
• Stanley Ihunyere
• Jasmine Rae Infante
• Caterina Iosifescu, DDS
• Rifat Islam
• Theresa Jacklin, LCSW
• Ellen Jaffe, PSYD
• Jessy James

• Interventional Pain Medicine Physician in Bellerose, NY
• Providers in Bellerose, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.