Organization Active NPI

Strive Medical Wellness PC

  • Family Medicine Physician
  • Smithtown, NY
National Provider Identifier
1598646630
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STRIVE MEDICAL WELLNESS PC
Practice address
32 Lawrence Ave Ste 206
Smithtown, NY 11787-3605
Phone
(631) 265-1763
Fax
(631) 265-9014
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Dr. Stephanie Wallman, DONPI 1134519580
Title
Owner
Phone
(631) 265-1763

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 Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

32 Lawrence Ave Ste 206
Smithtown, NY 11787-3605

Mailing address

32 Lawrence Ave Ste 206
Smithtown, NY 11787-3605
Phone (631) 265-1763

National Provider Directory

National Provider Directory

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": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1598646630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LAWRENCE AVE STE 206",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873605",
            "telephone_number": "631-265-1763",
            "fax_number": "631-265-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LAWRENCE AVE STE 206",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873605",
            "telephone_number": "631-265-1763",
            "fax_number": "631-265-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIVE MEDICAL WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "WALLMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-265-1763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.