Active NPI
Unique You Medical Wellness
Doing business as Refined Medical Wellness NY
- Clinic/Center
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2023
- 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
- Nycholle Gavilanes, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- East Setauket, NY
- NPI 1699941971
-
- Physician Assistant
- East Setauket, NY
- NPI 1780858951
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.