INTEGRATED HEALTHCARE GROUP, P.C.
NPI 1669577318
Internal Medicine in West New York, NJ

Active since September 14, 2006CLIA 31D2102236 · Waiver
5600 KENNEDY BLVD W, WEST NEW YORK, NJ 07093(201) 866-3100(201) 866-0321 Get Directions Write a Review

NPPES record last updated: February 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Integrated Healthcare Group, P.c. NPPES

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

INTEGRATED HEALTHCARE GROUP, P.C. (NPI 1669577318) is a healthcare organization registered as an internal medicine in West New York, New Jersey and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Ellen Vitievsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1669577318
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTEGRATED HEALTHCARE GROUP, P.C.
Location Address5600 KENNEDY BLVD WWest New York, NJ 07093-1256
Mailing AddressPo Box 7664North Brunswick, NJ 08902-7664 · (201) 866-3100 · Fax (201) 866-0321
Fax(201) 866-0321
Organization SubpartNo
Authorized OfficialEllen VitievskyOwner · (201) 866-3100
Enumeration DateSeptember 14, 2006
Last NPPES UpdateFebruary 16, 2025
NPPES CertifiedFebruary 16, 2025
✔ NPI 1669577318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5600 KENNEDY BLVD W, West New York, NJ 07093

Other Identifiers 1

Medicaid0076911NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Healthcare Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Healthcare Group, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1366547135
5600 KENNEDY BLVD W SUITE 102
West New York, NJ 07093
(201) 866-3100
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1700083763
375 E MAIN ST SUITE 12
Bay Shore, NY 11706
(631) 665-2261
✔ PECOS✔ Accepts Medicare42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2102236

Integrated Healthcare Group, PC · West New York, NJ
Active · expires Sep 2, 2027
CLIA Number31D2102236
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorEllen Vitievsky
Laboratory Phone(201) 866-3100
Laboratory LocationIntegrated Healthcare Group, PC5600 Kennedy Blvd Ste 102, West New York, NJ 07093
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Integrated Healthcare Group, P.C.'s NPI number?

The NPI number for Integrated Healthcare Group, P.C. is 1669577318. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Integrated Healthcare Group, P.C. located?

Integrated Healthcare Group, P.C. is located at 5600 Kennedy Blvd W, West New York, NJ 07093. The listed phone number is (201) 866-3100.

What is Integrated Healthcare Group, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Integrated Healthcare Group, P.C. enrolled in Medicare?

Yes. Integrated Healthcare Group, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Healthcare Group, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Integrated Healthcare Group, P.C., in Diagnostic Radiology and Internal Medicine. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Integrated Healthcare Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2102236) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Healthcare Group, P.C. was last updated on February 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.