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AVENUE MEDICAL WELLNESS PC
NPI 1033885199
Family Medicine in New York, NY

Active since August 19, 2021
535 5TH AVE RM 603, NEW YORK, NY 10017(310) 614-3697 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avenue Medical Wellness Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVENUE MEDICAL WELLNESS PC (NPI 1033885199) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since August 2021. The organization lists Bojana Jankovic Weatherly, Owner, as its authorized official.

NPPES Registry Identity

NPI1033885199
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVENUE MEDICAL WELLNESS PC
Location Address535 5TH AVE RM 603New York, NY 10017-8009
Mailing Address535 5th Ave Rm 603New York, NY 10017-8009
Phone(310) 614-3697
Organization SubpartNo
Authorized OfficialBojana Jankovic WeatherlyOwner · (310) 614-3697
Enumeration DateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1033885199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
535 5TH AVE RM 603, New York, NY 10017
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CINDY MARIA RESTREPO RN
Registered Nurse
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (646) 200-5750
SHERA RAISEN M.D.
Family Medicine
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (646) 200-5750
AVENUE MEDICAL WELLNESS PC
Family Medicine
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (646) 200-5750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avenue Medical Wellness PC's NPI number?

The NPI number for Avenue Medical Wellness PC is 1033885199. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Avenue Medical Wellness PC located?

Avenue Medical Wellness PC is located at 535 5th Ave Rm 603, New York, NY 10017. The listed phone number is (310) 614-3697.

What is Avenue Medical Wellness PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Avenue Medical Wellness PC was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.