Organization Active NPI

Imac NP in Family Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dix Hills, NY
National Provider Identifier
1831058049
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
IMAC NP IN FAMILY HEALTH PLLC
Practice address
52 Corsa St
Dix Hills, NY 11746-6624
Phone
(646) 401-1115
NPI assigned
Jan 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Authorized official

Name
Mr. Iftikhar Cheema, PMHNP-BCNPI 1912556077
Title
Manager Member
Phone
(646) 401-1115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

52 Corsa St
Dix Hills, NY 11746-6624

Mailing address

10415 101St Ave
Ozone Park, NY 11416-2702
Phone (646) 401-1115

Other practice location 1

10415 101st Ave
Ozone Park, NY 11416-2702
Phone (646) 401-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260512001759 NY Part B Supplier - Clinic/Group Practice 9234608944 Receives reassigned benefits from 1 practitioner
Practice locations: Ozone Park, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769212800000",
    "number": "1831058049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162702",
            "telephone_number": "646-401-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CORSA ST",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466624",
            "telephone_number": "646-401-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10415 101st Ave",
            "address_purpose": "LOCATION",
            "city": "Ozone Park",
            "state": "NY",
            "postal_code": "114162702",
            "country_code": "US",
            "telephone_number": "646-401-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMAC NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A",
        "authorized_official_last_name": "CHEEMA",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "646-401-1115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; 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.