Organization Active NPI

Integrated Wellness, NP in Adult Health, PC

  • Adult Health Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1043035025
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
INTEGRATED WELLNESS, NP IN ADULT HEALTH, PC
Practice address
990 Stewart Ave Ste LL30
Garden City, NY 11530-4822
Phone
(516) 280-9600
Fax
(516) 280-9599
NPI assigned
Nov 15, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jarrett BudaNPI 1205937596
Title
Manager
Phone
(516) 280-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU Primary

Addresses

Primary practice location

990 Stewart Ave Ste LL30
Garden City, NY 11530-4822

Mailing address

990 Stewart Ave Ste LL30
Garden City, NY 11530-4822
Phone (516) 280-9600

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2335309Integrated Wellness NP in Adult Health PC990 Stewart Ave - Ste LL30, Garden City, NY 11530Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1043035025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE STE LL30",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-280-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE STE LL30",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-280-9600",
            "fax_number": "516-280-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS, NP IN ADULT HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "BUDA",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-280-9600"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.