Active NPI
Well Health Medical PC
- Exclusive Provider Organization
- New York, NY
National Provider Identifier
1992486658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.