Integrated Internal Medical Services PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

165969 Issued in NY

Legal business name

INTEGRATED INTERNAL MEDICAL SERVICES PC

Practice address

1485 5TH Ave
14H
New York, NY 10035-2772

Phone

(917) 690-3811

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By 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

Dr. Vincent Jarvis, MD

Title

Owner

Phone

(917) 690-3811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1669725321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 5TH AVE",
            "address_2": "14H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 5TH AVE",
            "address_2": "14H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352772",
            "telephone_number": "917-690-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED INTERNAL MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-690-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "165969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Chiropractic and Acupuncture, PLLC
• Integrated Chiropractic and Physical Therapy Associates PLLC
• Integrated Dental Design PLLC
• Integrated Digestive Medical of New York, P.C.
• Integrated Gi Health Partners, PLLC
• Integrated Medical
• Integrated Medical Professionals PLLC (Advanced Urology Centers of Ny - Manhattan)
• Integrated Medical Professionals PLLC
• Integrated Medical Professionals PLLC
• Integrated Mental Health Counseling

• Internal Medicine Physician in New York, NY
• Providers in New York, 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 18, 2012; 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.