Integra Partners LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

INTEGRA PARTNERS LLC

Practice address

3221 W. Big Beaver Rd.
Ste.211
Troy, MI 48084-2811

Phone

(718) 369-0012

Fax

(718) 287-1229

NPI assigned

Sep 25, 2006

Last updated

Nov 17, 2025By 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

Lauren Russo

Title

General Consel

Phone

(718) 819-3920

Specialties & licenses 7

Addresses

Other names 1

• Integra Partners IPA LLC Other name

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1962502229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 81580",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48308",
            "telephone_number": "718-369-0012",
            "fax_number": "718-287-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 W. BIG BEAVER RD.",
            "address_2": "STE.211",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842811",
            "telephone_number": "718-369-0012",
            "fax_number": "718-287-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "GENERAL CONSEL",
        "authorized_official_telephone_number": "718-819-3920"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integra Partners IPA LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Integra Partners IPA LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Customized Equipment (DME) in Troy, MI
• Providers in Troy, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.