Organization Active NPI

Mega Wellness Inc

  • Rehabilitation Clinic/Center
  • New York, NY
National Provider Identifier
1659933695
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MEGA WELLNESS INC
Practice address
481 8TH Ave # 608
New York, NY 10001-1809
Phone
(917) 775-3145
Fax
(212) 994-9737
NPI assigned
Jun 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Authorized official

Name
Dr. Anelina Gordon, DPT
Title
President
Phone
(917) 775-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

481 8TH Ave # 608
New York, NY 10001-1809

Mailing address

2546 E 13TH St Apt A11
Brooklyn, NY 11235-4306
Phone (917) 775-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191021001166 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476884669 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

481 8th Ave
#608
New York, NY 10001
Phone (917) 775-3145

481 8th Ave
Ste 608
New York, NY 10001
Phone (917) 775-3145

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": "1561766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561766400000",
    "number": "1659933695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 E 13TH ST APT A11",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354306",
            "telephone_number": "917-775-3145",
            "fax_number": "212-994-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 8TH AVE # 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011809",
            "telephone_number": "917-775-3145",
            "fax_number": "212-994-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGA WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-775-3145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.