Organization Active NPI

Healthwell Medical, PC

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1043466477
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226707 Issued in NY
Legal business name
HEALTHWELL MEDICAL, PC
Practice address
13235 41St Rd
Suite 2C
Flushing, NY 11355-4113
Phone
(718) 886-1080
Fax
(718) 886-1081
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Dr. Fei Wang
Title
President
Phone
(718) 886-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 226707 NY Primary

Addresses

Primary practice location

13235 41St Rd
Suite 2C
Flushing, NY 11355-4113

Mailing address

13235 41St Rd
Suite 2C
Flushing, NY 11355-4113
Phone (718) 886-1080

National Provider Directory

National Provider Directory

Locations

8330 Vietor Ave
Ste P1
Elmhurst, NY 11373
Phone (718) 205-5616

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1043466477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13235 41ST RD",
            "address_2": "SUITE 2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554113",
            "telephone_number": "718-886-1080",
            "fax_number": "718-886-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13235 41ST RD",
            "address_2": "SUITE 2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554113",
            "telephone_number": "718-886-1080",
            "fax_number": "718-886-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWELL MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "FEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-1080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.