Organization Active NPI

The Wellness Care NP in Family Health PC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1518744879
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE WELLNESS CARE NP IN FAMILY HEALTH PC
Practice address
31 E 32ND St RM 610
New York, NY 10016-5592
Phone
(347) 426-7513
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Kab Ju Kim-Amaro, NPNPI 1851790315
Title
Nurse Practitioner
Phone
(347) 426-7513

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

31 E 32ND St RM 610
New York, NY 10016-5592

Mailing address

701 W 177TH St Apt 43
New York, NY 10033-6909
Phone (347) 426-7513

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241028002888 NY Part B Supplier - Clinic/Group Practice 3274974928 Receives reassigned benefits from 1 practitioner
Practice locations: Blauvelt, NY

National Provider Directory

National Provider Directory

Locations

580 Route 303
Ste 2A
Blauvelt, NY 10913
Phone (201) 625-5542

Practitioners & affiliated clinicians

Practitioners 2

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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1518744879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 177TH ST APT 43",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336909",
            "telephone_number": "347-426-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E 32ND ST RM 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165592",
            "telephone_number": "347-426-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CARE NP IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "KIM-AMARO",
        "authorized_official_first_name": "KAB JU",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "347-426-7513",
        "authorized_official_credential": "NP"
    },
    "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.