Integrative Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

234008 Issued in NY

Legal business name

INTEGRATIVE FAMILY MEDICINE

Practice address

22 W 21St St
Suite 400
New York, NY 10010-6904

Phone

(212) 366-5100

Fax

(212) 366-6275

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Aran Degenhardt, MD, MPH&TM

Title

Medical Director

Phone

(212) 366-5100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1811128564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W 21ST ST",
            "address_2": "SUITE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106904",
            "telephone_number": "212-366-5100",
            "fax_number": "212-366-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 21ST ST",
            "address_2": "SUITE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106904",
            "telephone_number": "212-366-5100",
            "fax_number": "212-366-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "DEGENHARDT",
        "authorized_official_first_name": "ARAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-366-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH&TM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "234008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.