Active NPI
Wellcome Care Medical
- Pediatrics Physician
- Far Rockaway, NY
National Provider Identifier
1689424160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- WELLCOME CARE MEDICAL
- Practice address
- 2915 Far Rockaway Blvd
Far Rockaway, NY 11691-1941 - Phone
- (718) 310-6049
- Fax
- (718) 310-6070
- NPI assigned
- Mar 26, 2024
- 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
- Randi B Nelson, MD
- Title
- Ceo/Medical Director
- Phone
- (718) 310-6049
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2915 Far Rockaway Blvd
Far Rockaway, NY 11691-1941
Mailing address
2915 Far Rockaway Blvd
Far Rockaway, NY 11691-1941
Phone (718) 310-6049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07932130 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2915 Far Rockaway Blvd
Far Rockaway, NY 11691
Phone (347) 230-4076
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1952627424
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1588160873
-
- Pediatrics Physician
- Far Rockaway, NY
- NPI 1215247895
-
- Clinical Social Worker
- Far Rockaway, NY
- NPI 1851634174
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1346280542
-
- Family Nurse Practitioner
- New York, NY
- NPI 1134783384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779408000000",
"number": "1689424160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 FAR ROCKAWAY BLVD",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911941",
"telephone_number": "718-310-6049",
"fax_number": "718-310-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 FAR ROCKAWAY BLVD",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911941",
"telephone_number": "718-310-6049",
"fax_number": "718-310-6070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLCOME CARE MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-26",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "RANDI",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-310-6049",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07932130",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.