Organization Active NPI

Unique You Medical Wellness

Doing business as Refined Medical Wellness NY

  • Clinic/Center
  • East Setauket, NY
National Provider Identifier
1235835067
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNIQUE YOU MEDICAL WELLNESS
Doing business as
Refined Medical Wellness NY
Practice address
8 Technology Drive
Suite 104
East Setauket, NY 11733
Phone
(516) 704-7447
NPI assigned
Feb 2, 2023
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Nycholle Gavilanes, MDNPI 1699941971
Title
Member
Phone
(631) 219-5133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8 Technology Drive
Suite 104
East Setauket, NY 11733

Mailing address

50 Southview Cir
Lake Grove, NY 11755-2239
Phone (631) 219-5133

Other names 1

  • Refined Medical Wellness NY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1235835067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SOUTHVIEW CIR",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552239",
            "telephone_number": "631-219-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TECHNOLOGY DRIVE",
            "address_2": "SUITE 104",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "516-704-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE YOU MEDICAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "GAVILANES",
        "authorized_official_first_name": "NYCHOLLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-219-5133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refined Medical Wellness NY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.