Active NPI
Wellness Adult Health NP PC
- Nurse Practitioner
- Valley Stream, NY
National Provider Identifier
1265398374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasoda Dhupan, NURSE PRACTITIONER
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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 DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1689002206
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.