The Health and Wellness Club Inc

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

Legal business name

THE HEALTH AND WELLNESS CLUB INC

Practice address

5006 Avenue L
Brooklyn, NY 11234-3210

Phone

(347) 881-5389

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Carlyn Yarde

Title

Owner

Phone

(347) 881-5389

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayron Ragland

  • Registered Nurse
  • Brooklyn, NY
  • NPI 1477222677
  NPD

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1841969052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343210",
            "telephone_number": "347-881-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343210",
            "telephone_number": "347-881-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH AND WELLNESS CLUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "YARDE",
        "authorized_official_first_name": "CARLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-881-5389"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "519593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adolescent Medicine (Internal Medicine) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adolescent Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.