Integrated Health Administrative Services Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

INTEGRATED HEALTH ADMINISTRATIVE SERVICES INC.

Practice address

141 Halstead Ave
Suite 304
Mamaroneck, NY 10543-2607

Phone

(914) 777-8300

Fax

(914) 777-8304

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leonard J Tanzer

Title

Chairman

Phone

(914) 777-8300

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NJ, NY, PA3 enrollments

Enrollment records 3

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.

  • Diagnostic Ultrasound Physician
  • Mamaroneck, NY
  • NPI 1861647885

  9335190867

  Same PAC ID
• Integrated Health Administrative Services, Inc.

  • Diagnostic Radiology Physician
  • Stamford, CT
  • NPI 1760964001

  9335190867

  Same PAC ID

Locations

Practitioners 2

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

• Michael B. Shapiro, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1104869791
  NPD
• 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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1790700599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HALSTEAD AVE",
            "address_2": "SUITE 304",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432607",
            "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": "141 HALSTEAD AVE",
            "address_2": "SUITE 304",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432607",
            "telephone_number": "914-777-8300",
            "fax_number": "914-777-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH ADMINISTRATIVE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01878633",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "630001541",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879836",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060372",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "630001618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dawn Insanalli
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• Karem Yamile Isaac, MS CCC BSLP / TSHH
• Ivy Tilson Inc

• Mobile Radiology Clinic/Center in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Mobile Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.