Organization Active NPI

Wellnexx, Inc.

  • Health Service Clinic/Center
  • Huntington, NY
National Provider Identifier
1538835574
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WELLNEXX, INC.
Doing business as
Wellnexx Clinic
Practice address
1930 Veterans Highway Suite 15
Islandia, Ny 11749
Huntington, NY 11743
Phone
(631) 214-6024
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Dr. James William Wyckoff, DHA, LMTNPI 1134881428
Title
Ceo and Clinical Director
Phone
(631) 214-6024

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1930 Veterans Highway Suite 15
Islandia, Ny 11749
Huntington, NY 11743

Mailing address

4 Meadowood CT
Huntington, NY 11743-3829
Phone (631) 214-6024

Other names 1

  • Wellnexx Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1930 Veterans Hwy
Ste 15
Islandia, NY 11749
Phone (631) 214-6024

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": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1538835574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEADOWOOD CT",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433829",
            "telephone_number": "631-214-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 VETERANS HIGHWAY SUITE 15",
            "address_2": "ISLANDIA, NY 11749",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-214-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNEXX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "WYCKOFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "631-214-6024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA, LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellnexx Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 19, 2021; 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.