Immunization Medical Services PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

227084 Issued in NY

Legal business name

IMMUNIZATION MEDICAL SERVICES PC

Doing business as

Flu Busters

Practice address

909 Midland Ave
Yonkers, NY 10704-1092

Phone

(770) 512-8566

Fax

(770) 512-8558

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ricky John Sayegh, M.D., FACP

Title

Medical Director

Phone

(914) 376-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Flu Busters Doing business as

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1477862191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HEMBREE PARK DR",
            "address_2": "SUITE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765738",
            "telephone_number": "770-512-8566",
            "fax_number": "770-512-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MIDLAND AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041092",
            "telephone_number": "770-512-8566",
            "fax_number": "770-512-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNIZATION MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "SAYEGH",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "914-376-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flu Busters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.