We provide a precise description of the integer points on elliptic curves of the shape y2 = x3 - N2x, where N = 2apb for prime p. By way of example, if p ≡ ±3 (mod 8) and p > 29, we show that all such points necessarily have y = 0. Our proofs rely upon lower bounds for linear forms in logarithms, a variety of old and new results on quartic and other Diophantine equations, and a large amount of (non-trivial) computation.