Organization Active NPI

Health Wellness Medical Astoria PLLC

  • Sports Medicine (Family Medicine) Physician
  • Astoria, NY
National Provider Identifier
1063381747
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
HEALTH WELLNESS MEDICAL ASTORIA PLLC
Practice address
3274 Steinway St
Astoria, NY 11103-4006
Phone
(347) 354-1328
Fax
(332) 296-8382
NPI assigned
Nov 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Authorized official

Name
Dr. Olutimilehin Oyeniran, MDNPI 1710566195
Title
Medical Director
Phone
(908) 344-8963

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
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

3274 Steinway St
Astoria, NY 11103-4006

Mailing address

3274 Steinway St
Astoria, NY 11103-4006
Phone (347) 354-1328

Other practice location 1

761 Washington Ave
Brooklyn, NY 11238-4504
Phone (347) 354-1328

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251119001761 NY Part B Supplier - Clinic/Group Practice 3173014925 Receives reassigned benefits from 5 practitioners
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory
Tax ID family
Health Wellness Medical Astoria PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3274 Steinway St
Astoria, NY 11103
Phone (347) 354-1328

Practitioners & affiliated clinicians

Practitioners 5

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": "1761955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790380800000",
    "number": "1063381747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "347-354-1328",
            "fax_number": "332-296-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "347-354-1328",
            "fax_number": "332-296-8382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112384504",
            "country_code": "US",
            "telephone_number": "347-354-1328",
            "fax_number": "332-296-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH WELLNESS MEDICAL ASTORIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-01",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A",
        "authorized_official_last_name": "OYENIRAN",
        "authorized_official_first_name": "OLUTIMILEHIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "908-344-8963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; 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.