Active NPIOrganization

East Side Integrative Medicine PC

Nurse Practitioner, Psych/Mental Health in White Plains, New York

NPI Number1659081461
Practice location
1 Barker Ave Ste 200, White Plains, NY 10601-1523
Fax
—
Last updated
February 24, 2026

East Side Integrative Medicine PC is a healthcare organization based in White Plains, NY. East Side Integrative Medicine PC practices in White Plains, NY. The NPI Number for East Side Integrative Medicine PC is 1659081461. The current practice location address for East Side Integrative Medicine PC is 1 Barker Ave Ste 200, White Plains, NY 10601-1523 and can be reached out via phone at 845-422-6504.

Provider Profile Details

NPI Number
1659081461
Provider Name
East Side Integrative Medicine PC
Provider Entity Type
Organization
Address
1 Barker Ave Ste 200, White Plains, NY 10601-1523
Phone Number
845-422-6504
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Benjamin James Medrano · Director · 720-251-9215
Provider Enumeration Date
December 2, 2022
Last Update Date
February 24, 2026
Certification Date
February 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Barker Ave Ste 200
White Plains, NY 10601-1523
Zip
10601-1523
Phone Number
845-422-6504
White Plains, NY 10601Get directions →

Provider Business Mailing Address Details

Address
1 Barker Ave Ste 200
White Plains, NY 10601-1523
City
White Plains
State
NY
Zip
10601-1523
Phone Number
845-422-6504

License Information

Taxonomy (1)
Clinic/Center, Multi-Specialty · 261QM1300X
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
Taxonomy (3)
Clinic/Center, Adult Mental Health · 261QM0850X
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of East Side Integrative Medicine PC?

The NPI number of East Side Integrative Medicine PC is 1659081461. It was assigned on December 2, 2022 and is currently active in the NPPES registry.

What is the specialty of East Side Integrative Medicine PC?

East Side Integrative Medicine PC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does East Side Integrative Medicine PC practice?

The practice location is 1 Barker Ave Ste 200, White Plains, NY 10601-1523. The office can be reached at 845-422-6504 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659081461 directly on the NPPES registry website.

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