Organization Active NPI

Integrative Internal Medicine & Geriatric Practice, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Flushing, NY
National Provider Identifier
1386679736
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
INTEGRATIVE INTERNAL MEDICINE & GERIATRIC PRACTICE, PLLC
Doing business as
Adult & Senior Health
Practice address
14218 38TH Ave
# 1C
Flushing, NY 11354-5550
Phone
(718) 888-1722
Fax
(718) 888-1793
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Zheng-Bo Haung, M.D.
Title
Owner
Phone
(718) 888-1722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

14218 38TH Ave
# 1C
Flushing, NY 11354-5550

Mailing address

14218 38TH Ave
# 1C
Flushing, NY 11354-5550
Phone (718) 888-1722

Other identifiers 1

IdentifierTypeStateIssuer
05790AOtherNYMEDICARE PTAN

Other names 1

  • Adult & Senior Health Doing business as

National Provider Directory

National Provider Directory

Locations

4373 Union St
Ste 1C
Flushing, NY 11355
Phone (646) 872-5633

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1386679736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14218 38TH AVE",
            "address_2": "# 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545550",
            "telephone_number": "718-888-1722",
            "fax_number": "718-888-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14218 38TH AVE",
            "address_2": "# 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545550",
            "telephone_number": "718-888-1722",
            "fax_number": "718-888-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE INTERNAL MEDICINE & GERIATRIC PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "HAUNG",
        "authorized_official_first_name": "ZHENG-BO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-888-1722",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "05790A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult & Senior Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.