Organization Active NPI

Rebalance Integrative Health PLLC

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1932845484
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REBALANCE INTEGRATIVE HEALTH PLLC
Practice address
46325 W 12 Mile Rd Ste 390
Novi, MI 48377-2464
Phone
(248) 719-7271
Fax
(248) 719-7245
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Elaina Vayntrub, MD
Title
Owner
Phone
(248) 719-7271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

46325 W 12 Mile Rd Ste 390
Novi, MI 48377-2464

Mailing address

46325 W 12 Mile Rd Ste 390
Novi, MI 48377-2464
Phone (248) 719-7271

National Provider Directory

National Provider Directory

Locations

46325 W Twelve Mile Rd
Ste 390
Novi, MI 48377
Phone (248) 348-1700

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1932845484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD STE 390",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772464",
            "telephone_number": "248-719-7271",
            "fax_number": "248-719-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD STE 390",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772464",
            "telephone_number": "248-719-7271",
            "fax_number": "248-719-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBALANCE INTEGRATIVE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "VAYNTRUB",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-719-7271",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.