Signature Integrated Medical Arts, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

166111 Issued in NY

Legal business name

SIGNATURE INTEGRATED MEDICAL ARTS, PLLC

Practice address

220 Westchester Ave
White Plains, NY 10604-2913

Phone

(914) 844-2864

NPI assigned

Jun 4, 2013

Organization subpart

No

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

Authorized official

Name

Edward BroccoliNPI 1609866060

Title

President

Phone

(914) 844-2864

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward John Broccoli, MD

  • Anesthesiology Physician
  • Chappaqua, NY
  • NPI 1609866060
  NPD (past) Authorized official

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1376981035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GRAMATAN DR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WESTCHESTER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042913",
            "telephone_number": "914-844-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE INTEGRATED MEDICAL ARTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "BROCCOLI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-844-2864"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "193448",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "166111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rory Joseph Siegel, DO
• Andrea Jean Sieger, MA
• Celestina Sierra
• Narcisa Sierra, LMHC
• Signature Acupuncture Studio PLLC
• Isabel Sills
• Nicole Silva
• Carol Elizabeth Silvaney, MD
• Alison Dawn Silver
• Michael M. Silver, M.D.

• Interventional Pain Medicine Physician in White Plains, NY
• Providers in White Plains, 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 Jun 4, 2013; 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.