Organization Active NPI

My Wellness Medical PLLC

  • Internal Medicine Physician
  • Commack, NY
National Provider Identifier
1649002858
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MY WELLNESS MEDICAL PLLC
Practice address
356 Veterans Memorial Hwy Ste 5
Commack, NY 11725-4332
Phone
(631) 335-5532
Fax
(631) 292-2019
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Dr. Manish Chadha, MDNPI 1992903264
Title
Owner
Phone
(631) 335-3403

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

356 Veterans Memorial Hwy Ste 5
Commack, NY 11725-4332

Mailing address

98 Caramel Rd
Commack, NY 11725-1000
Phone (631) 335-3403

Other names 1

  • My Wellness Medical PLLC Former legal business name

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": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1649002858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CARAMEL RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251000",
            "telephone_number": "631-335-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 VETERANS MEMORIAL HWY STE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254332",
            "telephone_number": "631-335-5532",
            "fax_number": "631-292-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY WELLNESS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "CHADHA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-335-3403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Wellness Medical PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "My Wellness Medical PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.