Active NPI
Precision Wellness NP in Adult Health
- Adult Health Nurse Practitioner
- Hewlett, NY
National Provider Identifier
1104637586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- PRECISION WELLNESS NP IN ADULT HEALTH
- Practice address
- 16 New St Apt 1D
Hewlett, NY 11557-2021 - Phone
- (646) 322-3742
- NPI assigned
- Jan 15, 2025
- 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
- Renae T Pacheco
- Title
- Owner
- Phone
- (646) 322-3742
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
16 New St Apt 1D
Hewlett, NY 11557-2021
Mailing address
16 New St Apt 1D
Hewlett, NY 11557-2021
Phone (646) 322-3742
National Provider Directory
National Provider DirectoryPractitioners & 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": "1736899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736899200000",
"number": "1104637586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 NEW ST APT 1D",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572021",
"telephone_number": "646-322-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 NEW ST APT 1D",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572021",
"telephone_number": "646-322-3742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION WELLNESS NP IN ADULT HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "PACHECO",
"authorized_official_first_name": "RENAE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-322-3742"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hewlett, NY
- Emanuella Pinkhas, MSED
- Angelina Pinkhasova, OTR/L
- Michelle Pinkhasova
- Rodel Villarosa Placino
- Miroslava Linett Pradella, LCSW-R
- Prine Health Medical Group, PLLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy PC
- Progress in Motion Physical Therapy PLLC
- Prokhiy Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.