Internal Medicine Wellbeing PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

INTERNAL MEDICINE WELLBEING PLLC

Practice address

8713 Myrtle Ave
Glendale, NY 11385-7847

Phone

(718) 971-9509

NPI assigned

May 11, 2023

Last updated

Oct 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aleksey Etinger, DONPI 1225304496

Title

Owner

Phone

(718) 971-9509

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Aleksey Etinger, D.O.

  • Hospitalist Physician
  • Glendale, NY
  • NPI 1225304496

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Yuriy Dekhkanov, MD

  • Internal Medicine Physician
  • Glendale, NY
  • NPI 1235405432
  Medicare reassignment NPD

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759536000000",
    "number": "1205526472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857847",
            "telephone_number": "718-971-9509",
            "fax_number": "718-971-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857847",
            "telephone_number": "718-971-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE WELLBEING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A",
        "authorized_official_last_name": "ETINGER",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-971-9509",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Huang, PHARMD
• Ilan Igonin
• Vincent Illuzzi
• Denisse Inoa, MD
• Inessa Inoyatova
• Thelma Centinella Isaac
• Ella Ismailova
• Petr Itzhak, D.O.
• Logan Michele Jacobson
• Elsie V Jacques, MSW

• Nephrology Physician in Glendale, NY
• Providers in Glendale, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.