East Village Integrated Medical, PC
NPI 1326572181ActiveOrganization· Family Medicine, Sports Medicine· New York, NY
Family Medicine, Sports Medicine in New York, New York, registered in NPPES in April 2017. The authorized official on file is Taras Odulak, DC, Ceo.
Overview
| NPI | 1326572181 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2017 |
| Last updated in NPPES | Nov 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | 264414 | NY |
| Chiropractor | 111N00000X | X006018 | NY |
| Physical Therapist, Sports | 2251S0007X | 264414 | NY |
| Physical Therapist, Sports | 2251S0007X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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