Wellport Medicine Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WELLPORT MEDICINE INC

Practice address

2515 Main Street
Bridgeport, CT 06606

Phone

(203) 296-9297

Fax

(203) 296-9298

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Hafiz Muhammad Usman

Title

Owner

Phone

(646) 637-2148

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1699467431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "203-296-9297",
            "fax_number": "203-296-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "203-296-9297",
            "fax_number": "203-296-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPORT MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "USMAN",
        "authorized_official_first_name": "HAFIZ",
        "authorized_official_middle_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-637-2148"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Weisman, M.D.
• Jordan Weiss, LPC-A
• Wellbeing Counseling Services LLC
• Wellington Provider Group PC
• Wellnite Medical Group PA
• Jeremy David Wells, MD
• Katya Elise Wentzel, MD
• Michael John Werdmann, M.D.
• Jamera Wesley
• Dana Marie Wessels, PA-C

• Pharmacy in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.