Active NPI
Integrity Treatment Partners LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Baldwin, NY
National Provider Identifier
1215719174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- INTEGRITY TREATMENT PARTNERS LLC
- Practice address
- 2250 Grand Ave
Baldwin, NY 11510-3109 - Phone
- (516) 200-1669
- Fax
- (516) 665-5168
- NPI assigned
- Oct 16, 2023
- Last updated
- Feb 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua T Goldfeder
- Title
- Owner
- Phone
- (516) 870-8110
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
2250 Grand Ave
Baldwin, NY 11510-3109
Mailing address
2250 Grand Ave
Baldwin, NY 11510-3109
Phone (516) 200-1669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07976043 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2316573 | Integrity Treatment Partners | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
2250 Grand Ave
Baldwin, NY 11510
Phone (516) 200-1669
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1073264610
Single Specialty
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1922099852
-
- Social Worker
- Cortland, NY
- NPI 1174124341
-
- Physician Assistant
- Amityville, NY
- NPI 1356237044
-
- Social Worker
- Baldwin, NY
- NPI 1487506267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1215719174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103109",
"telephone_number": "516-200-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103109",
"telephone_number": "516-200-1669",
"fax_number": "516-665-5168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRITY TREATMENT PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-16",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "GOLDFEDER",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-870-8110"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07976043",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.