Organization Active NPI

Integral Medical Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Passaic, NJ
National Provider Identifier
1497988950
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA03887500 Issued in NJ
Legal business name
INTEGRAL MEDICAL CARE PC
Practice address
80 Passaic Ave
Suite 1
Passaic, NJ 07055-4860
Phone
(201) 758-1101
Fax
(201) 758-1118
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Mr. Arnaldo Presilla
Title
Co-Owner
Phone
(201) 758-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 25MA03887500 NJ Primary

Addresses

Primary practice location

80 Passaic Ave
Suite 1
Passaic, NJ 07055-4860

Mailing address

80 Passaic Ave
Suite 1
Passaic, NJ 07055-4860
Phone (201) 758-1101

National Provider Directory

National Provider Directory

Locations

80 Passaic Ave
Ste 1
Passaic, NJ 07055
Phone (973) 249-0730

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1497988950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PASSAIC AVE",
            "address_2": "SUITE 1",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554860",
            "telephone_number": "201-758-1101",
            "fax_number": "201-758-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PASSAIC AVE",
            "address_2": "SUITE 1",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554860",
            "telephone_number": "201-758-1101",
            "fax_number": "201-758-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "PRESILLA",
        "authorized_official_first_name": "ARNALDO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-758-1101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA03887500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.