Organization Active NPI

Regenerative Wellness Inc.

  • Clinic/Center
  • Huntington, NY
National Provider Identifier
1386410116
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REGENERATIVE WELLNESS INC.
Practice address
23 Green St Ste 100a
Huntington, NY 11743-3336
Phone
(631) 304-4385
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Ms. Crystal Lynn Frare, RN
Title
Vice President
Phone
(631) 741-0724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

23 Green St Ste 100a
Huntington, NY 11743-3336

Mailing address

23 Green St Ste 100a
Huntington, NY 11743-3336
Phone (631) 304-4385

National Provider Directory

National Provider Directory

Locations

23 Green St
Ste 100A
Huntington, NY 11743
Phone (631) 304-4385

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": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1386410116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GREEN ST STE 100A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433336",
            "telephone_number": "631-304-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GREEN ST STE 100A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433336",
            "telephone_number": "631-304-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "FRARE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "631-741-0724",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.