NPIMap

Organization Active NPI

Be Well Primary Health Care Center, LLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1083623409
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
7001111R Issued in NY
Legal business name
BE WELL PRIMARY HEALTH CARE CENTER, LLC
Practice address
3007 Farragut Road
Brooklyn, NY 11210-2549
Phone
(718) 434-0711
Fax
(718) 434-0712
NPI assigned
Aug 5, 2006
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Mr. Yevgeniy Stepankovskiy
Title
Ceo
Phone
(718) 253-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 7001111R NY Primary

Addresses

Primary practice location

3007 Farragut Road
Brooklyn, NY 11210-2549

Mailing address

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

Other practice location 1

1577 Fulton St
Brooklyn, NY 11213-1125
Phone (347) 915-1411

Other practice location 2

604 Pacific St
Brooklyn, NY 11217-2008
Phone (347) 915-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000235 NY Part B Supplier - Clinic/Group Practice 2062305030 Receives reassigned benefits from 106 practitioners
Practice locations: Brooklyn, NY
O20211129000967 NY Part B Supplier - Independent Clinical Laboratory 2062305030 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1021605Be Well Primary Health Care Center LLC3007 Farragut Road, Brooklyn, NY 11210Certificate of waiverMar 26, 2027
33D2296549Be Well Primary Health Care Center LLC1577 Fulton St, Brooklyn, NY 11213Certificate of waiverMar 26, 2027
33D2338000Be Well Primary Health Care Center LLC604 Pacific St, Brooklyn, NY 11217Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2019 Nostrand Ave
Brooklyn, NY 11210
Phone (347) 533-6180

Practitioners & affiliated clinicians

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1083623409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 FARRAGUT RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101537",
            "telephone_number": "718-434-0711",
            "fax_number": "718-434-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 FARRAGUT ROAD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102549",
            "telephone_number": "718-434-0711",
            "fax_number": "718-434-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1577 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131125",
            "country_code": "US",
            "telephone_number": "347-915-1411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Pacific St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112172008",
            "country_code": "US",
            "telephone_number": "347-915-1530",
            "fax_number": "718-434-0722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BE WELL PRIMARY HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "STEPANKOVSKIY",
        "authorized_official_first_name": "YEVGENIY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-253-1582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "7001111R",
            "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 May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.