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MEDICAL AND WELLNESS PRACTICE PLLC
NPI 1104427442
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Staten Island, NY

Active since November 03, 2020
554 TOMPKINS AVE, STATEN ISLAND, NY 10305(877) 241-2772 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2021, Nov 4, 2020 (2 updates tracked since 2020).

About Medical And Wellness Practice Pllc NPPES

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

MEDICAL AND WELLNESS PRACTICE PLLC (NPI 1104427442) is a healthcare organization registered as an orthopaedic surgery of the spine in Staten Island, New York and active in the NPI registry since November 2020. The organization maintains 2 additional practice locations and lists John Sou-cheng Shiau, President, as its authorized official.

NPPES Registry Identity

NPI1104427442
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameMEDICAL AND WELLNESS PRACTICE PLLC
Location Address554 TOMPKINS AVEStaten Island, NY 10305-1745
Mailing AddressPo Box 103Hillsdale, NJ 07642-0103 · (201) 522-3205
Phone(877) 241-2772
Organization SubpartNo
Authorized OfficialJohn Sou-cheng ShiauPresident · (917) 886-5276
Enumeration DateNovember 3, 2020
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1104427442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
554 TOMPKINS AVE, Staten Island, NY 10305
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Secondary Practice Locations 2

Location 1110 Business Park DrUtica, NY 13502-6302 · Phone (877) 241-2772
Location 2139 Fulton St Rm 136New York, NY 10038-2538 · Phone (877) 241-2772

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 2

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

RAVI R SALICKRAM RPA
Physician Assistant
554 TOMPKINS AVE
STATEN ISLAND, NY 10305
Richmond County (347) 855-7284
DR. MATTHEW JOHN CRISCUOLO DPT
Physical Therapist
554 TOMPKINS AVE
STATEN ISLAND, NY 10305
Richmond County (718) 815-7050

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 Medical And Wellness Practice PLLC's NPI number?

The NPI number for Medical And Wellness Practice PLLC is 1104427442. It was assigned to this organization in the NPPES registry on November 3, 2020.

Where is Medical And Wellness Practice PLLC located?

Medical And Wellness Practice PLLC is located at 554 Tompkins Ave, Staten Island, NY 10305. The listed phone number is (877) 241-2772.

What is Medical And Wellness Practice PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Medical And Wellness Practice PLLC was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.