Organization Active NPI

Wellny Medical Services PLLC

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1770140725
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
WELLNY MEDICAL SERVICES PLLC
Practice address
7 W 45TH St FL 9
New York, NY 10036-4905
Phone
(877) 331-5043
Fax
(914) 303-5004
NPI assigned
May 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Mitchell K Rosen, MD
Title
Owner
Phone
(877) 331-5004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204C00000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

7 W 45TH St FL 9
New York, NY 10036-4905

Mailing address

7 W 45TH St FL 9
New York, NY 10036-4905
Phone (877) 331-5043

Other practice location 1

40 Bay Shore Ave
Bay Shore, NY 11706-7929
Phone (877) 331-5043

Other identifiers 1

IdentifierTypeStateIssuer
174280OtherNY1199

National Provider Directory

National Provider Directory

Locations

40 Bay Shore Ave
Bay Shore, NY 11706
Phone (631) 647-4567

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1770140725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W 45TH ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364905",
            "telephone_number": "877-331-5043",
            "fax_number": "914-303-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 45TH ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364905",
            "telephone_number": "877-331-5043",
            "fax_number": "914-303-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Bay Shore Ave",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117067929",
            "country_code": "US",
            "telephone_number": "877-331-5043",
            "fax_number": "914-303-5004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNY MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-331-5004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "174280",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.