Organization Active NPI

Wellness Adult Health NP PC

  • Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1265398374
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WELLNESS ADULT HEALTH NP PC
Practice address
9 Ivanhoe PL
Valley Stream, NY 11580-2901
Phone
(347) 465-3919
NPI assigned
Jan 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Jasoda Dhupan, NURSE PRACTITIONERNPI 1689002206
Title
Officer- Owner
Phone
(347) 465-3919

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
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

9 Ivanhoe PL
Valley Stream, NY 11580-2901

Mailing address

9 Ivanhoe PL
Valley Stream, NY 11580-2901

Other practice location 1

4470 Broadway
New York, NY 10040-2669
Phone (347) 465-3919

National Provider Directory

National Provider Directory

Locations

4470 Broadway
New York, NY 10040
Phone (212) 548-7171

Practitioners & 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": "1767312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1265398374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 IVANHOE PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 IVANHOE PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802901",
            "telephone_number": "347-465-3919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4470 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100402669",
            "country_code": "US",
            "telephone_number": "347-465-3919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS ADULT HEALTH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "DHUPAN",
        "authorized_official_first_name": "JASODA",
        "authorized_official_title_or_position": "OFFICER- OWNER",
        "authorized_official_telephone_number": "347-465-3919",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

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