ML Wellness Medical PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ML WELLNESS MEDICAL PLLC

Practice address

9608 72ND Ave
Forest Hills, NY 11375-6715

Phone

(718) 554-6426

NPI assigned

Dec 29, 2022

Last updated

Oct 29, 2026By 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

Dr. Max Lazarus, DO

Title

Medical Director

Phone

(718) 554-6426

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jennifer Victoria Kim, FNP-BC

  • Family Nurse Practitioner
  • Great Neck, NY
  • NPI 1598517526
  NPD (past)

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1275246738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 72ND AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756715",
            "telephone_number": "718-554-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 72ND AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756715",
            "telephone_number": "718-554-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ML WELLNESS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-554-6426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MK Ei Services Inc.
• MK Optometrist PC (Advanced Vision Care)
• MK Vision Center
• MK Vision Center I, Inc
• MK Vision Center LLC
• MLG Medical , P.C.
• Monika Ewa Mlynarczyk, PT
• MM Medical Service PC
• MNB Medical PC
• Mobilecare Physical Therapy, PC

• Pain Medicine Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.