Organization Active NPI

Integrative Wellness

  • Clinic/Center
  • Larchmont, NY
National Provider Identifier
1417118233
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INTEGRATIVE WELLNESS
Practice address
2039 Palmer Ave Ste 203
Larchmont, NY 10538-2483
Phone
(212) 812-0788
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Mr. Jeffrey Jacob, ACUPUNCTURENPI 1467723205
Title
President
Phone
(212) 812-0788

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2039 Palmer Ave Ste 203
Larchmont, NY 10538-2483

Mailing address

2039 Palmer Ave Ste 203
Larchmont, NY 10538-2483
Phone (212) 812-0788

National Provider Directory

National Provider Directory

Locations

2039 Palmer Ave
Ste 203
Larchmont, NY 10538
Phone (212) 812-0788

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1417118233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 PALMER AVE STE 203",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382483",
            "telephone_number": "212-812-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 PALMER AVE STE 203",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382483",
            "telephone_number": "212-812-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-812-0788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACUPUNCTURE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.