Wellspring Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLSPRING HEALTH LLC

Practice address

16836 Jamaica Ave
Jamaica, NY 11432-5216

Phone

(929) 277-1838

Fax

(855) 492-1615

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Betsy Varghese, MD

Title

MD

Phone

(718) 902-3440

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1578149845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 260TH ST APT 2",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041124",
            "telephone_number": "718-902-3440",
            "fax_number": "855-492-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16836 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325216",
            "telephone_number": "929-277-1838",
            "fax_number": "855-492-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-902-3440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03426840",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Health Care & Medicine PLLC
• Wellness Physical Medicine & Rehabilitation PC
• Wellness Rehab Center
• Melissa Wells, R.N.
• Teasha Wells
• Rosie Lee Wenrich, DO
• Robert Wenzel, LCSW
• George Wertheim, LMSW
• Neisha Denise Werts
• Debra Lynn West

• Family Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Medicine Physician in New York

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