Integrated Medical Health Services PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

198983 Issued in NY

Legal business name

INTEGRATED MEDICAL HEALTH SERVICES PC

Practice address

100 Livingston St Ste 3
Brooklyn, NY 11201-5023

Phone

(347) 414-3070

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Cathy Delerme Pagan, MD

Title

Director

Phone

(347) 414-3070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Intergrated Health Partners Other name

Locations

Practitioners 3

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

• Marlene Charles, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1629011333
  NPD (past)
• Leroy Vaughn France, PA

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1992948624
  NPD (past)
• Cecile Spence, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1912568551
  NPD (past)

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1972980845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20215 46TH RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613059",
            "telephone_number": "347-414-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON ST STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015023",
            "telephone_number": "347-414-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "DELERME PAGAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-414-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "198983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intergrated Health Partners",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 2, 2017; 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.