Ny Integrative Medicine PC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

204326 Issued in NY

Legal business name

NY INTEGRATIVE MEDICINE PC

Practice address

4809 8TH Ave
Brooklyn, NY 11220-2213

Phone

(212) 925-8839

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Luguang Yang, MD

Title

President

Phone

(212) 925-8839

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1689859480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202213",
            "telephone_number": "212-925-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202213",
            "telephone_number": "212-925-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY INTEGRATIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LUGUANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-925-8839",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "204326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "149219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Rehabilitation Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.