Imperial Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

201244 Issued in NY

Legal business name

IMPERIAL MEDICAL, PC

Practice address

3-9 Sickles St
Suite 1a
New York, NY 10040-1642

Phone

(212) 304-0096

Fax

(212) 304-0037

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Elsa Bula, PA

Title

Administrator

Phone

(917) 658-6470

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECDHAA

Practitioners 1

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

• Pedro Rafael Castillo Tallaj, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1487129227
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1891937157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-9 SICKLES ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401642",
            "telephone_number": "212-304-0096",
            "fax_number": "212-304-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-9 SICKLES ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401642",
            "telephone_number": "212-304-0096",
            "fax_number": "212-304-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "BULA",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-658-6470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01663872",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Impactful Counseling and Consulting
• Alyssa Imparato, SETSS
• Brandon Richard Impastato, MD
• Julianne L Imperato-McGinley, MD
• Alexandria Elizabeth Imperato, MD
• Imperial Physical Therapy
• Jacqueline Belen Imperial
• Diego Alejandro Payumo Imperio, PT
• Laura Impert, LCSW
• Impetus Physical Therapy PLLC

• Internal Medicine Physician in New York, NY
• Providers in New York, 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 Jun 4, 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.