NPIMap

Organization Active NPI

Urban Wellness Physicians, PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1669111035
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
URBAN WELLNESS PHYSICIANS, PLLC
Practice address
1349 Broadway
Brooklyn, NY 11221-6162
Phone
(646) 822-2566
Fax
(646) 822-2509
NPI assigned
Jun 2, 2022
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Dr. Rehan Shah, MDNPI 1255521332
Title
Owner
Phone
(516) 721-7069

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 Physician 207R00000X NU Primary

Addresses

Primary practice location

1349 Broadway
Brooklyn, NY 11221-6162

Mailing address

1349 Broadway
Brooklyn, NY 11221-6162
Phone (646) 822-2566

Other practice location 1

1001 Newkirk Ave
Brooklyn, NY 11230-1417
Phone (347) 240-6451

Other practice location 2

8515 126th St
Kew Gardens, NY 11415-3312
Phone (877) 919-2489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220720002035 NY Part B Supplier - Clinic/Group Practice 0941681092 Receives reassigned benefits from 18 practitioners
Practice locations: Brooklyn, NY; Kew Gardens, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2275074Urban Wellness Physicians PLLC1349 Broadway, Floor 1, Brooklyn, NY 11221Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1669111035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216162",
            "telephone_number": "646-822-2566",
            "fax_number": "646-822-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216162",
            "telephone_number": "646-822-2566",
            "fax_number": "646-822-2509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Newkirk Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112301417",
            "country_code": "US",
            "telephone_number": "347-240-6451",
            "fax_number": "347-240-6450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8515 126th St",
            "address_purpose": "LOCATION",
            "city": "Kew Gardens",
            "state": "NY",
            "postal_code": "114153312",
            "country_code": "US",
            "telephone_number": "877-919-2489",
            "fax_number": "917-300-6253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "URBAN WELLNESS PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-721-7069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.