Preventative Wellness of Westchester LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

PREVENTATIVE WELLNESS OF WESTCHESTER LLC

Practice address

1053 Saw Mill River Rd Ste LL1
Ardsley, NY 10502-1048

Phone

(914) 376-6100

NPI assigned

Sep 11, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Nieli

Title

Office Manager

Phone

(914) 376-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609395722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 SAW MILL RIVER RD STE LL1",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021048",
            "telephone_number": "914-376-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 SAW MILL RIVER RD STE LL1",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021048",
            "telephone_number": "914-376-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTATIVE WELLNESS OF WESTCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NIELI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-376-6100"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Christina Pilgrim, OT
• Minal R Pitre, PHYSICAL THERAPIST
• Podob Nutrition PLLC
• Samantha Megan Podob, MS, RD
• Premier Physicians and Surgeons, PLLC
• Preventive Pain & Wellness of Ardsley LLC
• Haitham S Rabadi, EMT
• Radiology of Westchester PC
• Meera Raju
• Laura Ramirez Sosa

• Sports Medicine (Family Medicine) Physician in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Sports Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.