Organization Active NPI

Wellness Acute Care NP PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1073198461
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLNESS ACUTE CARE NP PC
Practice address
5615 7TH Ave FL 2
Brooklyn, NY 11220-3509
Phone
(718) 205-2186
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Guolian Li Li, NPNPI 1962965251
Title
Owner
Phone
(434) 806-7015

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

5615 7TH Ave FL 2
Brooklyn, NY 11220-3509

Mailing address

5615 7TH Ave FL 2
Brooklyn, NY 11220-3509
Phone (718) 205-2186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210419001671 NY Part B Supplier - Clinic/Group Practice 2567870272 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

815 59th St
Ste A
Brooklyn, NY 11220
Phone (718) 676-2868

Practitioners & affiliated clinicians

Practitioners 2

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": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1073198461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 7TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203509",
            "telephone_number": "718-205-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 7TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203509",
            "telephone_number": "718-205-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ACUTE CARE NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "GUOLIAN",
        "authorized_official_middle_name": "LI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-806-7015",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 17, 2021; 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.