NPIMap

Organization Active NPI

Integrated Medical Professionals PLLC

  • Durable Medical Equipment & Medical Supplies
  • Smithtown, NY
National Provider Identifier
1952167173
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INTEGRATED MEDICAL PROFESSIONALS PLLC
Practice address
373 Route 111 Ste 7
Smithtown, NY 11787-4759
Phone
(631) 360-7450
NPI assigned
Feb 26, 2024
Last updated
Jun 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATED MEDICAL PROFESSIONALS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

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

Authorized official

Name
James J Weber, MDNPI 1740266196
Title
Owner
Phone
(214) 424-2213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

373 Route 111 Ste 7
Smithtown, NY 11787-4759

Mailing address

1 Hollow LN Ste 206
New Hyde Park, NY 11042-1215
Phone (516) 931-0041

Other names 1

  • Advanced Urology Centers of NY - Smithtown South Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250110000074 NY DME Supplier - Physician - Urology 6406868462 Practice locations: Smithtown, NY

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Integrated Med Prof PLLC28 organizations share this tax ID, including this one
Part of
Integrated Med Prof PLLC

Other organizations with this tax ID 27

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

View all 27

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782000000000",
    "number": "1952167173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 206",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-931-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 ROUTE 111 STE 7",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874759",
            "telephone_number": "631-360-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL PROFESSIONALS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED MEDICAL PROFESSIONALS PLLC",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-424-2213",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Urology Centers of NY - Smithtown South",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Advanced Urology Centers of NY - Smithtown South",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.