Organization Active NPI

Integrative Family Health Haven East RN NP in Family Health PLLC

  • Family Medicine Physician
  • East Syracuse, NY
National Provider Identifier
1790571255
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRATIVE FAMILY HEALTH HAVEN EAST RN NP IN FAMILY HEALTH PLLC
Practice address
5900 N Burdick St Ste 204
East Syracuse, NY 13057-9465
Phone
(315) 412-0387
Fax
(315) 218-1814
NPI assigned
Apr 18, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Bethanie Kala Muraski, FNP-CNPI 1952960643
Title
Owner
Phone
(315) 412-0387

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5900 N Burdick St Ste 204
East Syracuse, NY 13057-9465

Mailing address

5900 N Burdick St Ste 204
East Syracuse, NY 13057-9465
Phone (315) 412-0387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610000329 NY Part B Supplier - Clinic/Group Practice 7517477532 Receives reassigned benefits from 2 practitioners
Practice locations: East Syracuse, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2326134Integrative Family Health Haven East RN NP5900 N Burdick St - Suite 204, East Syracuse, NY 13057Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

5900 N Burdick St
Ste 204
East Syracuse, NY 13057
Phone (315) 412-0387

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1790571255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST STE 204",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579465",
            "telephone_number": "315-412-0387",
            "fax_number": "315-218-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST STE 204",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579465",
            "telephone_number": "315-412-0387",
            "fax_number": "315-218-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE FAMILY HEALTH HAVEN EAST RN NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "MURASKI",
        "authorized_official_first_name": "BETHANIE",
        "authorized_official_middle_name": "KALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-412-0387",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

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

Verify at the official NPI Registry.