OrganizationActive
Nirvana Integrative Medicine, PLLC
NPI 1346554342 · Adolescent Medicine (Internal Medicine) Physician · Bronx, NY
Provider details
- NPI number
- 1346554342
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ilora Rafique, MD(347) 346-6910
- License
- 218349 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1469 Astor Ave
Bronx, NY 10469-5846
Phone: (347) 346-6915
Street-level locationGet directions
Mailing address
1469 Astor Ave
Bronx, NY 10469-5846
Registry dates
- Enumerated
- 2010-08-02
- Last updated
- 2010-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.