Garden of Wellness Life Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

202216-1 Issued in NY

Legal business name

GARDEN OF WELLNESS LIFE MEDICAL PC

Practice address

8027 135 Street
Queens, NY 11435

Phone

(347) 561-3120

Fax

(347) 561-3142

NPI assigned

May 21, 2018

Last updated

May 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis Martha Gelb, MD

Title

President

Phone

(347) 561-3120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1861983363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027 135 STREET",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "347-561-3120",
            "fax_number": "347-561-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 135 STREET",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "347-561-3120",
            "fax_number": "347-561-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN OF WELLNESS LIFE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "GELB",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-561-3120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202216-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Paul Fils
• Nicole Alexandra Fishelman, M.S. CCC-SLP, TSSLD
• Jason Forde
• Adithan Ganesh, M.D.
• Manuel Garcia Morell, MD
• Natasha Garg, M.B.B.S.
• Juan Sebastian Garrigues, M.D.
• Gloria Twale Gbeneku, REGISTERED NURSE
• Celia Gellman, MD MS
• Anu George

• Family Medicine Physician in Queens, NY
• Providers in Queens, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.