Northshore Wellness Medical PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTHSHORE WELLNESS MEDICAL PC

Doing business as

Port Wellness South

Practice address

88 E Main St
East Islip, NY 11730-2528

Phone

(631) 885-2364

NPI assigned

Mar 1, 2022

Last updated

Mar 1, 2022By 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

Frank Lunati, MDNPI 1154372233

Title

Owner

Phone

(631) 885-2364

Specialties & licenses 1

Addresses

Other names 1

• Port Wellness South Doing business as

Locations

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.

• Frank P Lunati Jr., MD

  • Surgery Physician
  • Port Jefferson, NY
  • NPI 1154372233
  NPD (past) Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1881340628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 ROSLYN CT",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771433",
            "telephone_number": "631-885-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302528",
            "telephone_number": "631-885-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE WELLNESS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "LUNATI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-885-2364",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Wellness South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Anne Nawrath
• Nicole M Darrow DO P C
• North Shore Hematology Oncology Associates PC
• Northern Neurologic Monitoring Systems PC
• Lawrence L Northorn, D.O.
• Zachary Alexander Nowicki, DC
• Khrystyna Nykolyn, LMSW
• Brendan McSweeney O'Boyle, PA-C
• Brendan O'Connell, LCSW
• Kathleen O'Neill, LMSW, CASAC

• Clinic/Center in East Islip, NY
• Providers in East Islip, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.