East Side Integrative Medicine PC
NPI 1659081461 · Psychiatric/Mental Health Nurse Practitioner · White Plains, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Side Integrative Medicine PC is a Psychiatric/Mental Health Nurse Practitioner organization in White Plains, NY (NPI 1659081461).
Provider details
- NPI number
- 1659081461
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Benjamin Medrano, Director(720) 251-9215
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 10 Executive Blvd Ste 104Montebello, NY 10901-4170Phone: (914) 222-0101Fax: (914) 521-6331
Registry dates
- Enumerated
- 2022-12-02
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Frequently asked questions
- What is East Side Integrative Medicine PC's NPI number?
- East Side Integrative Medicine PC's National Provider Identifier (NPI) is 1659081461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Side Integrative Medicine PC?
- East Side Integrative Medicine PC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is East Side Integrative Medicine PC located?
- East Side Integrative Medicine PC's practice location on file with NPPES is 1 Barker Ave Ste 200, White Plains, NY 10601-1523.
- What is East Side Integrative Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for East Side Integrative Medicine PC is (845) 422-6504.
- Does East Side Integrative Medicine PC accept Medicare?
- East Side Integrative Medicine PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Side Integrative Medicine PC?
- The authorized official listed on East Side Integrative Medicine PC's NPPES record is Benjamin Medrano, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Side Integrative Medicine PC's NPI active?
- Yes — East Side Integrative Medicine PC's NPI (1659081461) is active in the NPPES registry as of the last update on 2026-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.