Integrated Health Administrative Services, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2335203 Issued in CT

Legal business name

INTEGRATED HEALTH ADMINISTRATIVE SERVICES, INC.

Practice address

1011 Hope St Ofc E
Stamford, CT 06907-2121

Phone

(203) 569-7651

Fax

(914) 777-8304

NPI assigned

Sep 4, 2018

Organization subpart

No

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

Authorized official

Name

Leonard J Tanzer

Title

Chairman

Phone

(914) 777-8300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Portable X-ray supplier certification: CCN 07X0009831

Legal name

INTEGRATED HEALTH ADMINISTRATIVE SERVICES INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Dec 18, 2018

Last certification

Oct 20, 2023

Ownership / control type

Individual

Facility address

1011 Hope Street, Office E
Stamford, CT 06907

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Integrated Health Administrative Services Inc.

  • Mobile Radiology Clinic/Center
  • Mamaroneck, NY
  • NPI 1790700599

  9335190867

  Same PAC ID
• Integrated Health Administrative Services Inc.

  • Diagnostic Ultrasound Physician
  • Mamaroneck, NY
  • NPI 1861647885

  9335190867

  Same PAC ID

Tax ID family

Integrated Health Administrative Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Integrated Health Administrative Services Inc.

  • Diagnostic Ultrasound Physician
  • Mamaroneck, NY
  • NPI 1861647885
  NPD tax ID
• Integrated Health Administrative Services, Inc.

  • Diagnostic Radiology Physician
  • Mamaroneck, NY
  • NPI 1861720435
  NPD tax ID

Locations

Practitioners 2

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

• David Khaski, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1720268220
  NPD (past)
• Bhavika Trivedi, M.D.

  • Diagnostic Radiology Physician
  • Ridgeland, MS
  • NPI 1174714299
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1760964001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HALSTEAD AVE STE 304",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432652",
            "telephone_number": "914-777-8300",
            "fax_number": "914-777-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HOPE ST OFC E",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069072121",
            "telephone_number": "203-569-7651",
            "fax_number": "914-777-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH ADMINISTRATIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "TANZER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "914-777-8300"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "2335203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Brian Inglis, D.C.
• Alyssa Ingmanson, PT, DPT
• Institute for Headache and Brain Health
• Institute for Integrated Vision, LLC
• Integral Inc
• Integrative Family Medicine of CT, PLLC
• Integrative MD LLC
• Integrative Medical Health & Wellness
• Integrative Medical Health & Wellness PC
• Integrative Medical Solutions, PC

• Diagnostic Radiology Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Diagnostic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.