Organization Active NPI

Lifewell Medical PA

  • General Practice Physician
  • Port Saint Joe, FL
National Provider Identifier
1134066756
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LIFEWELL MEDICAL PA
Practice address
220 9TH St
Port Saint Joe, FL 32456-1924
Phone
(845) 360-2552
NPI assigned
May 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Yitzchak Goldsmith, DONPI 1336705672
Title
President
Phone
(845) 360-2552

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

220 9TH St
Port Saint Joe, FL 32456-1924

Mailing address

23 Robert Pitt Dr Ste 102a
Monsey, NY 10952-3470

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1134066756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ROBERT PITT DR STE 102A",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 9TH ST",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324561924",
            "telephone_number": "845-360-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWELL MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "YITZCHAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-360-2552",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Joe, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.