Organization Active NPI

Well Health Medical PC

  • Exclusive Provider Organization
  • New York, NY
National Provider Identifier
1992486658
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
WELL HEALTH MEDICAL PC
Practice address
820 2ND Ave RM 6a
New York, NY 10017-4530
Phone
(212) 867-6681
Fax
(347) 332-1651
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Well Health Medical PC
Title
MD
Phone
(212) 867-6681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

820 2ND Ave RM 6a
New York, NY 10017-4530

Mailing address

820 2ND Ave RM 6a
New York, NY 10017-4530
Phone (212) 867-6681

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1992486658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 2ND AVE RM 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174530",
            "telephone_number": "212-867-6681",
            "fax_number": "347-332-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE RM 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174530",
            "telephone_number": "212-867-6681",
            "fax_number": "347-332-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL HEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "PC",
        "authorized_official_first_name": "WELL HEALTH MEDICAL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-867-6681"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 31, 2023; 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.