Integrated Medical Healthcare Services PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTEGRATED MEDICAL HEALTHCARE SERVICES PLLC

Practice address

600 Stony Brook CT
Newburgh, NY 12550-6524

Phone

(845) 391-8557

Fax

(845) 608-8270

NPI assigned

Mar 27, 2020

Last updated

Dec 22, 2020By 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

Jack Hardy Carleton, MDNPI 1811980873

Title

Partner

Phone

(914) 490-8519

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22895/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Carleton, MD

  • Internal Medicine Physician
  • Newburgh, NY
  • NPI 1811980873
  Authorized official Same address or phone

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1861020810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 STONY BROOK CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506524",
            "telephone_number": "845-391-8557",
            "fax_number": "845-608-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STONY BROOK CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506524",
            "telephone_number": "845-391-8557",
            "fax_number": "845-608-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL HEALTHCARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "CARLETON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "HARDY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "914-490-8519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.