Interactive Health New York LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

INTERACTIVE HEALTH NEW YORK LLC

Practice address

919 Winton Rd S
Rochester, NY 14618-1633

Phone

(847) 590-0200

Fax

(847) 590-0267

NPI assigned

Jan 23, 2014

Organization subpart

Yes

Parent organization

INTERACTIVE HEALTH SOLUTIONS INCAs reported in NPPES

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

Authorized official

Name

Jim Kasoff

Title

V.P. Risk Management Lab & Software

Phone

(443) 274-7351

Specialties & licenses 1

Addresses

Part of

American Health Service

Locations

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1396168696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E GOLF RD",
            "address_2": "STE 900",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735816",
            "telephone_number": "847-590-0200",
            "fax_number": "847-590-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181633",
            "telephone_number": "847-590-0200",
            "fax_number": "847-590-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE HEALTH NEW YORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERACTIVE HEALTH SOLUTIONS INC",
        "enumeration_date": "2014-01-23",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "KASOFF",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "V.P. RISK MANAGEMENT LAB & SOFTWARE",
        "authorized_official_telephone_number": "443-274-7351"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.