Integra MLTC Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

INTEGRA MLTC INC.

Practice address

1981 Marcus Ave
New Hyde Park, NY 11042-2060

Phone

(855) 800-4683

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Michael Alef

Title

Business and Product Development LD

Phone

(855) 800-4683

Specialties & licenses 1

Addresses

Tax ID family

Integra MLTC Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integra MLTC Inc.

  • Health Maintenance Organization
  • Brooklyn, NY
  • NPI 1841615630
  NPD tax ID

Locations

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1457981979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DAKOTA DR STE 100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421166",
            "telephone_number": "855-800-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422060",
            "telephone_number": "855-800-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA MLTC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "ALEF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS AND PRODUCT DEVELOPMENT LD",
        "authorized_official_telephone_number": "855-800-4683",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in New Hyde Park, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.