Michael L. Innerfield, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

151314 Issued in NY

Legal business name

MICHAEL L. INNERFIELD, M.D., P.C.

Practice address

2 Executive Blvd
Sutite 406
Suffern, NY 10901-4164

Phone

(845) 353-5050

Fax

(845) 353-1295

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Innerfield, M.D,

Title

President

Phone

(845) 553-5050

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619006715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "SUTITE 406",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-353-5050",
            "fax_number": "845-353-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "SUTITE 406",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-353-5050",
            "fax_number": "845-353-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. INNERFIELD, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INNERFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-553-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "151314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01073707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thiagarajan C Meyappan, M.D.
• Hannah Leah Meyer Granick, MD
• Jill I. Meyer, D.D.S.
• Robert I Meyerson, M.D
• Michael B. Schachter, MDPC
• Michael S Lippe MD, PC
• Rebecca A. Mierop, RN BSN
• Donna Rose Miesner, LCSW
• Ashley Lauren Milano
• Heather Milder

• Specialist in Suffern, NY
• Providers in Suffern, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.