The Wellness Medicine of New York PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

THE WELLNESS MEDICINE OF NEW YORK PC

Practice address

6903 4TH Ave
Brooklyn, NY 11209-1509

Phone

(646) 907-9072

NPI assigned

Jan 28, 2022

Last updated

Jan 28, 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

Bechoy Abdelmalak, MDNPI 1134526981

Title

MD

Phone

(917) 291-7270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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.

• Bechoy Abdelmalak, M.D

  • Psychiatry Physician
  • New York, NY
  • NPI 1134526981
  Medicare reassignment Care Compare group NPD Authorized official
• Alberto Perez, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1467753236
  Medicare reassignment Care Compare group NPD
• Nicholas F Homsy, MD

  • Psychiatry Physician
  • New York, NY
  • NPI 1124642533
  Medicare reassignment NPD
• Cody Frank

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1942926621
  Medicare reassignment
• Niurka Fernandez, NP

  • Nurse Practitioner
  • Brooklyn, NY
  • NPI 1851106827
  NPD
• Cathlene Vargas, LMSW

  • Social Worker
  • Brooklyn, NY
  • NPI 1497331532
  NPD

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1669125803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MADISON AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041312",
            "telephone_number": "646-907-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091509",
            "telephone_number": "646-907-9072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Central Park W Ste 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100234198",
            "country_code": "US",
            "telephone_number": "646-907-9072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1432 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103051923",
            "country_code": "US",
            "telephone_number": "646-907-9072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WELLNESS MEDICINE OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "ABDELMALAK",
        "authorized_official_first_name": "BECHOY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-291-7270",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.