Integrated Medical of New Haven, LLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

031959 Issued in CT

Legal business name

INTEGRATED MEDICAL OF NEW HAVEN, LLC

Practice address

111 Park St
Suite 1C
New Haven, CT 06511-5412

Phone

(203) 773-1935

Fax

(203) 773-0039

NPI assigned

Feb 3, 2010

Last updated

Feb 3, 2010By 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. Michael Lance Gerstenfeld, MD

Title

Manager

Phone

(203) 773-1935

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1760714661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "address_2": "SUITE 1C",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115412",
            "telephone_number": "203-773-1935",
            "fax_number": "203-773-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "address_2": "SUITE 1C",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115412",
            "telephone_number": "203-773-1935",
            "fax_number": "203-773-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL OF NEW HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "GERSTENFELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-773-1935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CT",
            "license": "031959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Evan Insler, MD
• Karl L Insogna, MD
• Sal Intagliata, DO
• Integral Health, LLC (Integral Health Associates)
• Integrated Bilingual Counseling
• Integrated Wellness Group, LLC
• Interpace Diagnostics Lab, Inc.
• Intraspectus, LLC
• Silvio Edward Inzucchi, MD
• Costin Nicolae Ionescu, M.D. PH.D

• Sports Medicine (Internal Medicine) Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Sports Medicine (Internal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.