Organization Active NPI

Associates of Internal Medicine, P.C.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1992881767
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301042604 Issued in MI
Legal business name
ASSOCIATES OF INTERNAL MEDICINE, P.C.
Practice address
38865 Dequindre Rd
Suite 106
Troy, MI 48083-6812
Phone
(248) 720-2626
NPI assigned
Oct 27, 2006
Organization subpart
Yes
Parent organization
ASSOCIATES OF INTERNAL MEDICINE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Rose Olszewski
Title
Office Manager
Phone
(248) 720-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301042604 MI Primary

Addresses

Primary practice location

38865 Dequindre Rd
Suite 106
Troy, MI 48083-6812

Mailing address

38865 Dequindre Rd
Suite 106
Troy, MI 48083-6812
Phone (248) 720-2626

Other identifiers 4

IdentifierTypeStateIssuer
3220859MedicaidMI
3220868MedicaidMI
CI6216OtherMIMEDICARE RAILROAD
4188667MedicaidMA

National Provider Directory

National Provider Directory
Part of
Assoc of Internal Med

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1992881767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38865 DEQUINDRE RD",
            "address_2": "SUITE 106",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836812",
            "telephone_number": "248-720-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38865 DEQUINDRE RD",
            "address_2": "SUITE 106",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836812",
            "telephone_number": "248-720-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES OF INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATES OF INTERNAL MEDICINE, P.C.",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OLSZEWSKI",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-720-2626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301042604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3220859",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3220868",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CI6216",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4188667",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.