Integral Assist Medical PC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

INTEGRAL ASSIST MEDICAL PC

Practice address

9941 64TH Ave
Suite D16
Rego Park, NY 11374-2653

Phone

(516) 883-7100

NPI assigned

Mar 4, 2010

Last updated

Mar 4, 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

Paul Ackerman, MD

Title

President

Phone

(718) 531-4545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1811210826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9941 64TH AVE",
            "address_2": "SUITE D16",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9941 64TH AVE",
            "address_2": "SUITE D16",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742653",
            "telephone_number": "516-883-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL ASSIST MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-531-4545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.