Organization Active NPI

DB Wellness Care NP in Family Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hempstead, NY
National Provider Identifier
1033086798
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DB WELLNESS CARE NP IN FAMILY HEALTH PLLC
Practice address
230 Hilton Ave Ste 4
Hempstead, NY 11550-8116
Phone
(516) 402-0191
Fax
(516) 232-9534
NPI assigned
Oct 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Authorized official

Name
Dwayne Blake, NPNPI 1194480335
Title
Manager
Phone
(516) 402-0194

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

230 Hilton Ave Ste 4
Hempstead, NY 11550-8116

Mailing address

31 Covert Ave # 1030
Floral Park, NY 11001-3216
Phone (516) 401-0194

Other names 1

  • DB Wellness Care NP in Family Health and Psychiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251105000735 NY Part B Supplier - Clinic/Group Practice 9436649845 Receives reassigned benefits from 1 practitioner
Practice locations: Hempstead, NY

National Provider Directory

National Provider Directory

Locations

31 Covert Ave
Floral Park, NY 11001
Phone (516) 402-0194

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760745600000",
    "number": "1033086798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COVERT AVE # 1030",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013216",
            "telephone_number": "516-401-0194",
            "fax_number": "516-232-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE STE 4",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508116",
            "telephone_number": "516-402-0191",
            "fax_number": "516-232-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DB WELLNESS CARE NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-402-0194",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DB Wellness Care NP in Family Health and Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.