Organization Active NPI

The Wellness NPS

  • Multi-Specialty Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1083322994
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THE WELLNESS NPS
Practice address
17900 NW 5TH St Ste 104
Pembroke Pines, FL 33029-2809
Phone
(305) 766-0392
NPI assigned
Nov 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Aissel Faquir, DNP-APRNNPI 1144772096
Title
Owner
Phone
(305) 766-0392

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
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

17900 NW 5TH St Ste 104
Pembroke Pines, FL 33029-2809

Mailing address

1142 Banyan Dr
Hollywood, FL 33021-2135
Phone (305) 766-0392

National Provider Directory

National Provider Directory

Locations

17900 NW 5th St
Ste 104
Pembroke Pines, FL 33029
Phone (305) 394-9064

Practitioners & affiliated clinicians

Practitioners 1

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": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1083322994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 BANYAN DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212135",
            "telephone_number": "305-766-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292809",
            "telephone_number": "305-766-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS NPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "FAQUIR",
        "authorized_official_first_name": "AISSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-766-0392",
        "authorized_official_credential": "DNP-APRN"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.