Organization Active NPI

Wellness Physicians Group, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Pompano Beach, FL
National Provider Identifier
1053951970
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
WELLNESS PHYSICIANS GROUP, LLC
Practice address
2301 W Sample Rd BLDG 4
Pompano Beach, FL 33073-3081
Phone
(954) 905-6225
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Jayesh Dave
Title
Ceo
Phone
(954) 678-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

2301 W Sample Rd BLDG 4
Pompano Beach, FL 33073-3081

Mailing address

8050 N University Dr Ste 207
Tamarac, FL 33321-2102
Phone (954) 905-6225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1053951970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 N UNIVERSITY DR STE 207",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212102",
            "telephone_number": "954-905-6225",
            "fax_number": "954-737-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W SAMPLE RD BLDG 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330733081",
            "telephone_number": "954-905-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-678-0078"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.