COMMUNITY MEDICAL WELLNESS PC
NPI 1073002473
Pain Medicine - Pain Medicine in Port Jefferson Station, NY

Active since May 02, 2018
1041 ROUTE 112, PORT JEFFERSON STATION, NY 11776(516) 314-5377 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Community Medical Wellness Pc NPPES

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

COMMUNITY MEDICAL WELLNESS PC (NPI 1073002473) is a healthcare organization registered as a pain medicine in Port Jefferson Station, New York and active in the NPI registry since May 2018. The organization lists Christopher Defilippis, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1073002473
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameCOMMUNITY MEDICAL WELLNESS PC
Location Address1041 ROUTE 112Port Jefferson Station, NY 11776-6000
Mailing AddressPo Box 463Farmingville, NY 11738-0463
Organization SubpartNo
Authorized OfficialChristopher DefilippisOperations Manager · (516) 314-5377
Enumeration DateMay 2, 2018
✔ NPI 1073002473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in NY · 276810-1
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
1041 ROUTE 112, Port Jefferson Station, NY 11776

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Medical Wellness Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Community Medical Wellness PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Internal Medicine
NPI 1750651238
50 ROUTE 25A
Smithtown, NY 11787
(631) 862-3000
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1942727797
1050 OLD NICHOLS RD
Islandia, NY 11749
(631) 828-4545
✔ PECOS✔ Accepts Medicare10 mi
Orthopedic Surgery
NPI 1194990895
66 HARNED RD
Commack, NY 11725
(631) 670-7800
✔ PECOS✔ Accepts Medicare14 mi
Pain Management
NPI 1427445253
520 OLD COUNTRY RD
Plainview, NY 11803
(516) 229-1443
✔ PECOS26 mi
Nurse Practitioner
NPI 1659863462
27005 76TH AVE
New Hyde Park, NY 11040
(718) 470-7000
✔ PECOS✔ Accepts Medicare36 mi
Hospitalist
NPI 1538439310
1000 CHURCH AVE
Brooklyn, NY 11218
(646) 680-4227
✔ PECOS✔ Accepts Medicare52 mi
Physical Medicine and Rehabilitation
NPI 1861716292
15 NEWARK AVE
Belleville, NJ 07109
(973) 844-9220
✔ PECOS✔ Accepts Medicare60 mi
Pain Management
NPI 1649567702
736 CAMBRIDGE ST ST. ELIZABETH'S MED CNTR, CMP-2, #211
Brighton, MA 02135
(617) 789-2777
✔ PECOS✔ Accepts Medicare139 mi
General Practice
NPI 1831131028
703 N FLAMINGO RD
Pembroke Pines, FL 33028
(943) 436-5000
✔ PECOS1,109 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Medical Wellness PC's NPI number?

The NPI number for Community Medical Wellness PC is 1073002473. It was assigned to this organization in the NPPES registry on May 2, 2018.

Where is Community Medical Wellness PC located?

Community Medical Wellness PC is located at 1041 Route 112, Port Jefferson Station, NY 11776. The listed phone number is (516) 314-5377.

What is Community Medical Wellness PC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Community Medical Wellness PC enrolled in Medicare?

Yes. Community Medical Wellness PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Medical Wellness PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians reassign their Medicare billing to Community Medical Wellness PC, in General Practice, Hospitalist, Internal Medicine, Nurse Practitioner, Orthopedic Surgery and 2 other specialties. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Community Medical Wellness PC was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.