Active NPI
Integrated Healthcare Group, P.C.
- Internal Medicine Physician
- West New York, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTEGRATED HEALTHCARE GROUP, P.C.
- Practice address
- 5600 Kennedy Blvd W
West New York, NJ 07093-1256 - Phone
- (201) 866-3100
- Fax
- (201) 866-0321
- NPI assigned
- Sep 14, 2006
- Last updated
- Feb 16, 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
- Ellen Vitievsky, M.D.
- Title
- Owner
- Phone
- (201) 866-3100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
5600 Kennedy Blvd W
West New York, NJ 07093-1256
Mailing address
PO Box 7664
North Brunswick, NJ 08902-7664
Phone (201) 866-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076911 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
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 |
|---|---|---|---|
| 31D2102236 | Integrated Healthcare Group, PC | Certificate of waiver | Sep 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
5600 Kennedy Blvd E
West New York, NJ 07093
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Internal Medicine Physician
- West New York, NJ
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- Foot & Ankle Surgery Podiatrist
- West New York, NJ
- NPI 1518086982
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- West New York, NJ
- NPI 1962529586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739664000000",
"number": "1669577318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7664",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089027664",
"telephone_number": "201-866-3100",
"fax_number": "201-866-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 KENNEDY BLVD W",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931256",
"telephone_number": "201-866-3100",
"fax_number": "201-866-0321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HEALTHCARE GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2025-02-16",
"certification_date": "2025-02-16",
"status": "A",
"authorized_official_last_name": "VITIEVSKY",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-866-3100",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076911",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.