Prestige Concierge Care LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

PRESTIGE CONCIERGE CARE LLC

Practice address

11474 225TH St
Cambria Heights, NY 11411-1228

Phone

(516) 699-8703

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Christella MedozileNPI 1033481429

Title

Administrator

Phone

(516) 699-8703

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christella Medozile

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1033481429
  NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1003620790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11474 225TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111228",
            "telephone_number": "516-699-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11474 225TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111228",
            "telephone_number": "516-699-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CONCIERGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MEDOZILE",
        "authorized_official_first_name": "CHRISTELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-699-8703"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pitre
• Michelle Justine Ponce
• Nicole R. Poole, DPT
• Lisa M Porter
• Touree Gabrielle Potter, NP
• Balchis Presume, RN
• Dennice L. Primo, LPN
• Sharmilla Sasha Pundruwillow
• George Odai Quaye, MD
• Lauren Ashley Ramesar, MD

• Health & Wellness Coach in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Health & Wellness Coach in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.