Organization Active NPI

Quality Wellness NP in Adult and Family Health PLLC

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1063221190
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
QUALITY WELLNESS NP IN ADULT AND FAMILY HEALTH PLLC
Practice address
2995 Ocean Pkwy Apt 1
Brooklyn, NY 11235-8387
Phone
(718) 975-3440
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Mira Zeitlin, NPNPI 1356098875
Title
Owner
Phone
(718) 975-3440

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

2995 Ocean Pkwy Apt 1
Brooklyn, NY 11235-8387

Mailing address

2995 Ocean Pkwy Apt 1
Brooklyn, NY 11235-8387
Phone (718) 975-3440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250304001342 NY Part B Supplier - Clinic/Group Practice 9739600099 Receives reassigned benefits from 3 practitioners
Practice locations: Port Jefferson Station, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1063221190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 OCEAN PKWY APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358387",
            "telephone_number": "718-975-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 OCEAN PKWY APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358387",
            "telephone_number": "718-975-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY WELLNESS NP IN ADULT AND FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "ZEITLIN",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-975-3440",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.