Port Jefferson Medical Wellness, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PORT JEFFERSON MEDICAL WELLNESS, PLLC

Doing business as

Messi Medical Wellness

Practice address

14 Hart PL
Dix Hills, NY 11746-6214

Phone

(718) 554-1042

Fax

(631) 978-7622

NPI assigned

Apr 22, 2019

Last updated

Apr 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Varun Bajaj

Title

Admin

Phone

(718) 554-1042

Specialties & licenses 1

Addresses

Other names 1

• Messi Medical Wellness Doing business as

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1053975383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HART PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466214",
            "telephone_number": "718-554-1042",
            "fax_number": "631-978-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HART PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466214",
            "telephone_number": "718-554-1042",
            "fax_number": "631-978-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JEFFERSON MEDICAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "BAJAJ",
        "authorized_official_first_name": "VARUN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "718-554-1042"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Messi Medical Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Elizabeth Plunkett, RN
• Ann Lisa Podina, R.N.
• Alexa Caridi Poggio
• Pollner, Teplitz & Associates, MDS, P.C.
• Nimka Khanna Popat, PA
• Portable Diagnostics Inc
• Angela Porter, MSN, FNP-BC
• Bernard S Potter, MD
• Prime Medical Care Health Service P.C.
• Shari L Prince, DC

• Clinic/Center in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.