New York Integrative Rheumatology

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

NEW YORK INTEGRATIVE RHEUMATOLOGY

Doing business as

New Tork Integrative Rheumatology

Practice address

3567 Shore Pkwy FL 2
Brooklyn, NY 11235-2668

Phone

(718) 648-8877

Fax

(718) 648-4647

NPI assigned

Mar 7, 2022

Organization subpart

No

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

Authorized official

Name

Sokolova Yelena, MD

Title

President

Phone

(516) 984-4649

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEW TORK INTEGRATIVE RHEUMATOLOGY Doing business as

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1689321051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3567 SHORE PKWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352668",
            "telephone_number": "718-648-8877",
            "fax_number": "718-648-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 SHORE PKWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352668",
            "telephone_number": "718-648-8877",
            "fax_number": "718-648-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK INTEGRATIVE RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "YELENA",
        "authorized_official_first_name": "SOKOLOVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-984-4649",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02110410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW TORK INTEGRATIVE RHEUMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW TORK INTEGRATIVE RHEUMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-Pharmacy Dispensing Site in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Non-Pharmacy Dispensing Site in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.