Integra MLTC Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

INTEGRA MLTC INC.

Practice address

2701 Emmons Ave
Brooklyn, NY 11235-2209

Phone

(347) 505-3457

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 2014By 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

Lorigay Laskin

Title

Contract Manager

Phone

(718) 468-4747

Specialties & licenses 1

Addresses

Tax ID family

Integra MLTC Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Integra MLTC Inc.

  • Health Maintenance Organization
  • New Hyde Park, NY
  • NPI 1457981979
  NPD tax ID

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1841615630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22215 NORTHERN BLVD",
            "address_2": "3RD FLOOR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613678",
            "telephone_number": "718-468-4747",
            "fax_number": "718-264-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352209",
            "telephone_number": "347-505-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA MLTC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "LASKIN",
        "authorized_official_first_name": "LORIGAY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "718-468-4747"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.