MEDICARE: INTEGRATED MEDICAL PROFESSIONALS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1780440909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED MEDICAL PROFESSIONALS PLLC

Provider Business Mailing Address
First Line	:	1 HOLLOW LN STE 206
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1215
Country	:	US
Telephone Number	:	516-931-0041
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 PATCHOGUE YAPHANK RD STE 11B
Second Line	:
City	:	EAST PATCHOGUE
State	:	NY
Zip	:	11772-4863
Country	:	US
Telephone Number	:	631-475-5335
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES J WEBER
Credential	:	MD
Telephone Number	:	214-424-2213

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	06/21/2026

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