EAST SIDE INTEGRATIVE MEDICINE PC
NPI 1659081461
Nurse Practitioner - Psychiatric/Mental Health in White Plains, NY
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
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Side Integrative Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to East Side Integrative Medicine PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is East Side Integrative Medicine PC enrolled in Medicare?
Yes. East Side Integrative Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Side Integrative Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to East Side Integrative Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Psychiatry (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# East Side Integrative Medicine Pc · NPI 1659081461
Psychiatric/Mental Health organization in White Plains, New York. Organization record, active in the CMS NPPES registry since December 2, 2022.
## Identity
- **NPI:** 1659081461 (Entity type: Organization)
- **Enumerated:** December 2, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Benjamin Medrano, DIRECTOR
## Practice location
- **Address:** 1 BARKER AVE STE 200, White Plains, NY 10601-1523
- **Phone:** (845) 422-6504
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Psychiatry (2); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2026
- **Other identifiers:** Other 284877 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1659081461) · Data from the CMS NPPES public registry.