Organization Active NPI

Healthwell NP Family Health PC

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1285377291
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTHWELL NP FAMILY HEALTH PC
Practice address
6860 108TH Street
SL1
Forest Hills, NY 11375-2902
Phone
(718) 776-7210
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Ms. Nina Aronov, FNPNPI 1144724360
Title
Nurse Practitioner - Family Health
Phone
(718) 776-7210

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6860 108TH Street
SL1
Forest Hills, NY 11375-2902

Mailing address

6860 108TH Street
Apt SL1
Forest Hills, NY 11375-2973
Phone (718) 776-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220812002371 NY Part B Supplier - Clinic/Group Practice 7113300831 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2276497Healthwell NP Family Health PC6860 108TH Street Apt SL1, Forest Hills, NY 11375Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

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": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1285377291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 108TH STREET",
            "address_2": "APT SL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752973",
            "telephone_number": "718-776-7210",
            "fax_number": "718-880-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 108TH STREET",
            "address_2": "SL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752902",
            "telephone_number": "718-776-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWELL NP FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "ARONOV",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER - FAMILY HEALTH",
        "authorized_official_telephone_number": "718-776-7210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.