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EAST SIDE INTEGRATIVE MEDICINE PC
NPI 1659081461
Nurse Practitioner - Psychiatric/Mental Health in White Plains, NY

Active since December 02, 2022
1 BARKER AVE STE 200, WHITE PLAINS, NY 10601(845) 422-6504 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 5, 2026, Jul 10, 2023, May 30, 2023 and 1 more (4 updates tracked since 2022).

About East Side Integrative Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST SIDE INTEGRATIVE MEDICINE PC (NPI 1659081461) is a healthcare organization registered as a psychiatric/mental health in White Plains, New York and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Montebello and lists Benjamin James Medrano, Director, as its authorized official.

NPPES Registry Identity

NPI1659081461
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEAST SIDE INTEGRATIVE MEDICINE PC
Location Address1 BARKER AVE STE 200White Plains, NY 10601-1523
Mailing Address1 Barker Ave Ste 200White Plains, NY 10601-1523 · (845) 422-6504
Phone(845) 422-6504
Organization SubpartNo
Authorized OfficialBenjamin James MedranoDirector · (720) 251-9215
Enumeration DateDecember 2, 2022
Last NPPES UpdateFebruary 24, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1659081461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1 BARKER AVE STE 200, White Plains, NY 10601
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Secondary Practice Location 1

Location 110 Executive Blvd Ste 104Montebello, NY 10901-4170 · Phone (914) 222-0101 · Fax (914) 521-6331

Other Identifiers 1

Other284877NY · Psychiatrist

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY C DELLA ROCCA NP
Nurse Practitioner
1 BARKER AVE STE 200
WHITE PLAINS, NY 10601
Westchester County (914) 222-0101
MR. NATHAN LEVITT FNP
Nurse Practitioner
1 BARKER AVE STE 200
WHITE PLAINS, NY 10601
Westchester County (914) 222-0101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Side Integrative Medicine PC's NPI number?

The NPI number for East Side Integrative Medicine PC is 1659081461. It was assigned to this organization in the NPPES registry on December 2, 2022.

Where is East Side Integrative Medicine PC located?

East Side Integrative Medicine PC is located at 1 Barker Ave Ste 200, White Plains, NY 10601. The listed phone number is (845) 422-6504.

What is East Side Integrative Medicine PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for East Side Integrative Medicine PC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.