Integrated Care Group LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

INTEGRATED CARE GROUP LLC

Practice address

363 Route 111 Ste 107
Smithtown, NY 11787-4750

Phone

(631) 209-4255

Fax

(631) 693-3313

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Rose Peterson, NPP

Title

Administrator

Phone

(631) 209-4255

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Paul Jean-Baptiste, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hicksville, NY
  • NPI 1043837859
  NPD (past)
• Rajwinder Kaur

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1245635887
  NPD (past)
• Milica Stefanovic, M.D.

  • Psychiatry Physician
  • Tarrytown, NY
  • NPI 1912936824
  NPD (past)

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1154097269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111 STE 107A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874750",
            "telephone_number": "631-209-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111 STE 107",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874750",
            "telephone_number": "631-209-4255",
            "fax_number": "631-693-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-209-4255",
        "authorized_official_credential": "NPP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon L Inkeles, MD
• Aleah Sophia Innis
• John Innis, BCBA
• Salvatore Inserra, MD
• Instar Medical PC
• Integrated Medical Professionals PLLC
• Integrative Family Acupuncture & Massage Therapy PLLC
• Invigorate Wellness Li
• Alyx Isaacson
• Salma Sanzida Islam, M.D

• Psychiatry Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.