Organization Active NPI

Well-America Corp

  • Psychologist
  • Pearl River, NY
National Provider Identifier
1750035879
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WELL-AMERICA CORP
Practice address
1 Blue Hill PLZ Ste 57
Pearl River, NY 10965-3100
Phone
(623) 600-4696
Fax
(888) 462-7765
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Dr. Yasir J. Ahmad, MDNPI 1275570509
Title
Owner
Phone
(732) 485-1301

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1 Blue Hill PLZ Ste 57
Pearl River, NY 10965-3100

Mailing address

79 Ogle Rd
Old Tappan, NJ 07675-7026
Phone (623) 600-4696

Other practice location 1

440 W 41st St Apt 9K
New York, NY 10036-6831
Phone (888) 419-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509000049 NY Part B Supplier - Clinic/Group Practice 1153708425 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1 Blue Hill Plz
Ste 57
Pearl River, NY 10965

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1750035879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 OGLE RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757026",
            "telephone_number": "623-600-4696",
            "fax_number": "888-462-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLUE HILL PLZ STE 57",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109653100",
            "telephone_number": "623-600-4696",
            "fax_number": "888-462-7765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 W 41st St Apt 9K",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100366831",
            "country_code": "US",
            "telephone_number": "888-419-9355",
            "fax_number": "302-469-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELL-AMERICA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "YASIR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-485-1301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.