Integra Wip Member LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

INTEGRA WIP MEMBER LLC

Practice address

351 Spook Rock Rd
Suffern, NY 10901-5307

Phone

(212) 660-9700

NPI assigned

Sep 21, 2023

Last updated

Sep 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Gefner

Title

President

Phone

(212) 660-9700

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

Locations

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1073392866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SPOOK ROCK RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015307",
            "telephone_number": "212-660-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SPOOK ROCK RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015307",
            "telephone_number": "212-660-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA WIP MEMBER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "GEFNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-660-9700"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Seth Eric Hurwitz, MD
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• Valerie Innocent, RN
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• Samantha Iodice, OTD
• Alexandra Iordanescu, M.D.
• Yisroel Isaacs, LCSW
• James Benjamin Israel, M.D.
• Robert Israel, M.D.

• Pediatric Skilled Nursing Facility in Suffern, NY
• Providers in Suffern, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.