Scarsdale Integrative Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

229053 Issued in NY

Legal business name

SCARSDALE INTEGRATIVE FAMILY MEDICINE PLLC

Practice address

2 Overhill Rd Ste 260
Scarsdale, NY 10583-5334

Phone

(914) 722-9440

Fax

(914) 722-9441

NPI assigned

Oct 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Hyun Joon Lee, M.D

Title

Medical Director

Phone

(914) 722-9440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Stephen Dahmer, M.D.

  • Integrative Medicine Physician
  • Tucson, AZ
  • NPI 1508956798

  Family Medicine, NY

  Medicare reassignment NPD
• Stacey Ann Crowley, NP

  • Family Nurse Practitioner
  • Scarsdale, NY
  • NPI 1447494604
  NPD (past)

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1902182397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD STE 260",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835334",
            "telephone_number": "914-722-9440",
            "fax_number": "914-722-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD STE 260",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835334",
            "telephone_number": "914-722-9440",
            "fax_number": "914-722-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARSDALE INTEGRATIVE FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYUN JOON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "914-722-9440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scarsdale Family Cosmetic Dentistry
• Scarsdale Family Dental
• Scarsdale Family Dental Group PC
• Scarsdale Foot Specialists, P.C.
• Scarsdale Health & Wellness
• Scarsdale Medical Group LLP
• Scarsdale Ophthalmology Associates PLLC
• Scarsdale Pediatric Associates
• Scarsdale Pediatric Associates
• Scarsdale Pediatric Associates

• Family Medicine Physician in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.