βœ“ Licensed & Credentialed Integrative Medicine (202D00000X)

787 MEDICAL PC (NPI #1023801842)

Integrative Medicine • GLEN COVE, NY • Status: Active Federal Registration

Plain-English Taxonomy Translation (202D00000X)

What Does Taxonomy Code 202D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 202D00000X translates in plain language to:
"Licensed & Credentialed Integrative Medicine"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Integrative Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 787 MEDICAL PC:

High-Volume Clinical Procedures & Diagnostics:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic & Prescribing Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1023801842 (NPI-2 Organization / Facility)
Provider / Legal Name787 MEDICAL PC
Plain-English SpecialtyLicensed & Credentialed Integrative Medicine
NUCC Code: 202D00000X (Integrative Medicine)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address235 FOREST AVE, GLEN COVE, NY, 115422034
Practice Telephone / FaxTel: 718-285-7023 | Fax: 516-671-6372
Administrative Mailing Address217 OLD ITHACA RD, HORSEHEADS, NY, 148451778
Enumeration & Last SyncEnumerated: 2025-05-24 | Updated: 2026-04-01
Authorized OfficialMUHAMMAD JALALUDDIN (Director)

Clinic Location, Accessibility & Directions

πŸ“ Practice Location & Patient Access

235 FOREST AVE, GLEN COVE, NY, 115422034

πŸ—ΊοΈ Open in Google Maps & Parking βš™οΈ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207QA0401X β€” Family Medicine, Addiction Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: N/A | License: Verified | Primary Taxonomy: Secondary
363L00000X β€” Nurse Practitioner
Plain English: Licensed & Credentialed Nurse Practitioner
State: N/A | License: Verified | Primary Taxonomy: Secondary
207T00000X β€” Neurological Surgery
Plain English: Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)
State: N/A | License: Verified | Primary Taxonomy: Secondary
208VP0000X β€”
Plain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)
State: N/A | License: Verified | Primary Taxonomy: Secondary
207R00000X β€” Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: N/A | License: Verified | Primary Taxonomy: Secondary
163WP0000X β€” Registered Nurse, Pain Management
Plain English: Licensed & Credentialed Registered Nurse, Pain Management
State: N/A | License: Verified | Primary Taxonomy: Secondary
202K00000X β€” Phlebology
Plain English: Licensed & Credentialed Phlebology
State: N/A | License: Verified | Primary Taxonomy: Secondary
363A00000X β€” Physician Assistant
Plain English: Licensed & Credentialed Physician Assistant
State: N/A | License: Verified | Primary Taxonomy: Secondary
208VP0014X β€” Pain Medicine, Interventional Pain Medicine
Plain English: Licensed & Credentialed Pain Medicine, Interventional Pain Medicine
State: N/A | License: Verified | Primary Taxonomy: Secondary
2081P2900X β€” Physical Medicine & Rehabilitation, Pain Medicine
Plain English: Licensed & Credentialed Physical Medicine & Rehabilitation, Pain Medicine
State: N/A | License: Verified | Primary Taxonomy: Secondary
207QB0002X β€” Family Medicine, Bariatric Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: N/A | License: Verified | Primary Taxonomy: Secondary
202D00000X β€” Integrative Medicine
Plain English: Licensed & Credentialed Integrative Medicine
State: N/A | License: Verified | Primary Taxonomy: Yes