Active NPI
East-West Integrative Medicine PLLC
- Primary Care Clinic/Center
- New York, NY
National Provider Identifier
1619095015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 233642
- Legal business name
- EAST-WEST INTEGRATIVE MEDICINE PLLC
- Practice address
- 30 Fifth Avenue
Ste 1E
New York, NY 10011 - Phone
- (212) 674-8777
- Fax
- (347) 287-6907
- NPI assigned
- Mar 26, 2007
- 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
- Dr. Eamonn Adelrich Vitt, M.D.
- Title
- Physician and Owner
- Phone
- (212) 674-8777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 233642 | NY | Primary |
Addresses
Primary practice location
30 Fifth Avenue
Ste 1E
New York, NY 10011
Mailing address
30 Fifth Avenue
Ste 1E
New York, NY 10011
Phone (212) 674-8777
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 |
|---|---|---|---|
| 33D1064541 | East-West Integrative Medicine | Certificate of waiver | Feb 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
230 W 13th St
Ste 1B
New York, NY 10011
Phone (212) 675-0070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681084800000",
"number": "1619095015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 FIFTH AVENUE",
"address_2": "STE 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-674-8777",
"fax_number": "347-287-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 FIFTH AVENUE",
"address_2": "STE 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-674-8777",
"fax_number": "347-287-6907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST-WEST INTEGRATIVE MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A",
"authorized_official_last_name": "VITT",
"authorized_official_first_name": "EAMONN",
"authorized_official_middle_name": "ADELRICH",
"authorized_official_title_or_position": "PHYSICIAN AND OWNER",
"authorized_official_telephone_number": "212-674-8777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "233642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.