Organization Active NPI

My Wellness Concierge Inc

  • Primary Care Clinic/Center
  • Howard Beach, NY
National Provider Identifier
1881304996
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MY WELLNESS CONCIERGE INC
Practice address
15640 Crossbay Blvd
Howard Beach, NY 11414-2745
Phone
(718) 529-4500
Fax
(718) 529-4663
NPI assigned
Nov 29, 2022
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Isabel Otero, NPNPI 1447860010
Title
Family Nurse Practitioner
Phone
(917) 304-9024

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

15640 Crossbay Blvd
Howard Beach, NY 11414-2745

Mailing address

16036 95TH St
Howard Beach, NY 11414-3801
Phone (917) 304-9024

National Provider Directory

National Provider Directory

Locations

15640 Crossbay Blvd
Howard Beach, NY 11414
Phone (516) 741-2255

Practitioners & affiliated clinicians

Practitioners 1

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": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1881304996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16036 95TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143801",
            "telephone_number": "917-304-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 CROSSBAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142745",
            "telephone_number": "718-529-4500",
            "fax_number": "718-529-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY WELLNESS CONCIERGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "917-304-9024",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.