Coast to Coast Medical Wellness, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COAST TO COAST MEDICAL WELLNESS, PLLC

Practice address

150 Broadhollow Rd Ste 222
Melville, NY 11747-4901

Phone

(631) 343-4184

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Raymond Brevetti, MDNPI 1619954435

Title

Cmo

Phone

(917) 575-8907

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory R. Brevetti, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooklyn, NY
  • NPI 1619954435
  NPD (past) Authorized official
• Navjeet Jammu

  • Massage Therapist
  • Bohemia, NY
  • NPI 1891647301
  NPD (past)

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1093432445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 BLDG 8",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768054",
            "telephone_number": "631-343-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD STE 222",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474901",
            "telephone_number": "631-343-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST MEDICAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "BREVETTI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "917-575-8907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeshaun Anika Clemons
• Erin Elizabeth Clesse
• Ajanae Clifford
• Julie Anna Clyne
• Dena Coacci
• Meta Campbell Cody
• Wendi Michelle Cohen Reyes
• Barbara Anne Cohen, BS SPED
• Brittany Cohen
• Jeb Cohen

• Specialist in Melville, NY
• Providers in Melville, NY by specialty
• Specialist in New York

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