Active NPI
Modesty Wellness Family Health NP LLC
- Primary Care Clinic/Center
- South Richmond Hill, NY
National Provider Identifier
1629981154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MODESTY WELLNESS FAMILY HEALTH NP LLC
- Practice address
- 10905 95TH Ave
South Richmond Hill, NY 11419-1003 - Phone
- (347) 488-1698
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Modesta Malu
- Title
- Owner
- Phone
- (347) 488-1698
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
10905 95TH Ave
South Richmond Hill, NY 11419-1003
Mailing address
10905 95TH Ave
South Richmond Hill, NY 11419-1003
Phone (347) 488-1698
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- New York, NY
- NPI 1578214318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1629981154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10905 95TH AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191003",
"telephone_number": "347-488-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10905 95TH AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191003",
"telephone_number": "347-488-1698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODESTY WELLNESS FAMILY HEALTH NP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "MALU",
"authorized_official_first_name": "MODESTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-488-1698"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.