EAST WEST INTEGRATED MEDICAL PC – NPI #1124211586
Clinic/Center

EAST WEST INTEGRATED MEDICAL PC is an AHC clinic located in NEW YORK, NY. NPPES has assigned the NPI number 1124211586 to EAST WEST INTEGRATED MEDICAL PC on August 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 4 years ago on Jun 03, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST WEST INTEGRATED MEDICAL PC below.

NPI Profile for
EAST WEST INTEGRATED MEDICAL PC

NPI Number
1124211586
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST WEST INTEGRATED MEDICAL PC
Primary location
350 CENTRAL PARK WEST 1D
NEW YORK, NY 10025
Phone: (212) 886-2602 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TZE-JUNG SU
PRESIDENT
Phone: (917) 892-4834
Updated
Certification Date
Jun 03, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
261QP2000X
- Clinic/Center / Physical Therapy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.