Functional and Integrative Medical Health Care P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

259884 Issued in NY

Legal business name

FUNCTIONAL AND INTEGRATIVE MEDICAL HEALTH CARE P.C.

Practice address

3505 E Tremont Ave
2ND Floor
Bronx, NY 10465-2026

Phone

(718) 732-4210

Fax

(888) 761-8317

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Ajay N Kiri, M.D.

Title

Owner and Ceo

Phone

(908) 421-6101

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1417217613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652026",
            "telephone_number": "718-732-4210",
            "fax_number": "888-761-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 E TREMONT AVE",
            "address_2": "2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652026",
            "telephone_number": "718-732-4210",
            "fax_number": "888-761-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL AND INTEGRATIVE MEDICAL HEALTH CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "KIRI",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "908-421-6101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "259884",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "259884",
            "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 7, 2015; 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.