Organization Active NPI

5TH Avenue Wellness Medicine PC

  • Pain Medicine (Anesthesiology) Physician
  • Forest Hills, NY
National Provider Identifier
1053063644
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
5TH AVENUE WELLNESS MEDICINE PC
Practice address
10837 71St Ave
Forest Hills, NY 11375-4566
Phone
(347) 233-4988
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Dr. Michael Nayshtut, DO
Title
DO/Owner
Phone
(347) 233-4988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

10837 71St Ave
Forest Hills, NY 11375-4566

Mailing address

10837 71St Ave
Forest Hills, NY 11375-4566
Phone (646) 229-4926

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1053063644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 71ST AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754566",
            "telephone_number": "646-229-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 71ST AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754566",
            "telephone_number": "347-233-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5TH AVENUE WELLNESS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "NAYSHTUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "347-233-4988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.