Advanced Integrative Medical PC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

259884 Issued in NY

Legal business name

ADVANCED INTEGRATIVE MEDICAL PC

Practice address

879 Commerce St
Thornwood, NY 10594-1415

Phone

(914) 747-9200

Fax

(914) 747-4406

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael A McKeown, DCNPI 1518043082

Title

Manager/Director

Phone

(914) 747-9200

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Anthony McKeown, D.C.

  • Chiropractor
  • Monroe, NY
  • NPI 1518043082
  NPD (past) Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1730457441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 COMMERCE ST",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941415",
            "telephone_number": "914-747-9200",
            "fax_number": "914-747-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 COMMERCE ST",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941415",
            "telephone_number": "914-747-9200",
            "fax_number": "914-747-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTEGRATIVE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "MCKEOWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER/DIRECTOR",
        "authorized_official_telephone_number": "914-747-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "A259884-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "A259884-1",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "259884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Spinal Therapy and Chiropractic Care, PLLC
• Nabila Al-Barghouthy, PA-C
• Sarah Amodei, LMT
• Mary F Andrews, M.S. ED.
• Peter M Angelo, L.AC

• Sports Medicine (Family Medicine) Physician in Thornwood, NY
• Providers in Thornwood, NY by specialty
• Sports Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.