Integrative Medicine of New York, PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

INTEGRATIVE MEDICINE OF NEW YORK, PLLC

Practice address

520 Franklin Ave Ste 230
Garden City, NY 11530-5878

Phone

(516) 759-4200

Fax

(516) 759-7600

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Laurel Muckey

Title

Administrator

Phone

(516) 759-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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.

• Jesse Andrew Stoff, MD

  • Allergy & Immunology Physician
  • Glen Cove, NY
  • NPI 1477637312
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1396361192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 230",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305878",
            "telephone_number": "516-759-4200",
            "fax_number": "516-759-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 230",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305878",
            "telephone_number": "516-759-4200",
            "fax_number": "516-759-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "MUCKEY",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-759-4200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "1477637312",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HEALTH@IMOFNY.COM",
            "affiliation": "N",
            "endpointDescription": "Practice email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 Franklin Ave Ste 230",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115305878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Allergy & Immunology Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.