Active NPI
Be Well Primary Health Care Center, LLC
- Multi-Specialty Clinic/Center
- Brooklyn, NY
National Provider Identifier
1083623409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 7001111R
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
604 Pacific St
Brooklyn, NY 11217-2008
Phone (347) 915-1530
Other practice location 2
1577 Fulton St
Brooklyn, NY 11213-1125
Phone (347) 915-1411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02528912 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1021605 | Be Well Primary Health Care Center LLC | Certificate of waiver | Mar 26, 2027 |
| 33D2296549 | Be Well Primary Health Care Center LLC | Certificate of waiver | Mar 26, 2027 |
| 33D2338000 | Be Well Primary Health Care Center LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
604 Pacific St
Brooklyn, NY 11217
Phone (718) 534-1564
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.
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- NPI 1629411715
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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": "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"
},
{
"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"
}
],
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02528912",
"state": "NY"
}
],
"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.