Integra Partners Ipa LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

INTEGRA PARTNERS IPA LLC

Practice address

100 Wall Street
Suite 203
New York, NY 10005-3701

Phone

(718) 369-0012

Fax

(718) 287-1229

NPI assigned

Jul 3, 2008

Last updated

Dec 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dominic Paniccia

Title

Ceo

Phone

(646) 668-4081

Specialties & licenses 7

Addresses

Locations

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1669635173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INTEGRA PARTNERS PO BOX 81580",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48308",
            "telephone_number": "718-369-0012",
            "fax_number": "718-287-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALL STREET",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100053701",
            "telephone_number": "718-369-0012",
            "fax_number": "718-287-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA PARTNERS IPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "PANICCIA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-668-4081"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astrid Marcus Insull, PHD
• Anna Sarin Intara
• B A Integlia, DDS
• Integra Home Health Ipa, LLC
• Integra Medical P.C.
• Integral Chiropractic N.Y.C., P.L.L.C.
• Integral Physical Therapy, PC
• Integrate Nyc Physical Therapy, PC
• Integrated Aesthetic Dentistry, PLLC
• Integrated Cardiovascular Imaging PLLC

• Customized Equipment (DME) in New York, NY
• Providers in New York, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.