Organization Active NPI

Hudson Health and Wellness LLC

  • Primary Care Clinic/Center
  • Hewlett, NY
National Provider Identifier
1588540470
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HUDSON HEALTH AND WELLNESS LLC
Practice address
15 Princeton Ave
Hewlett, NY 11557-1521
Phone
(240) 381-9193
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Mr. Khurram Shahzad
Title
Owner
Phone
(240) 381-9193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

15 Princeton Ave
Hewlett, NY 11557-1521

Mailing address

10217 McKean CT
Great Falls, VA 22066-4204

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1588540470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 MCKEAN CT",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220664204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PRINCETON AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571521",
            "telephone_number": "240-381-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "SHAHZAD",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-381-9193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.