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FAMILY MEDICAL WELLNESS PC
NPI 1174820955
Family Medicine in Port Jefferson, NY

Active since February 14, 2011
125 OAKLAND AVE, STE 203, PORT JEFFERSON, NY 11777(631) 928-9326 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medical Wellness Pc NPPES

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

FAMILY MEDICAL WELLNESS PC (NPI 1174820955) is a healthcare organization registered as a family medicine in Port Jefferson, New York and active in the NPI registry since February 2011. The organization lists James E Carlson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1174820955
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICAL WELLNESS PC
Location Address125 OAKLAND AVE, STE 203Port Jefferson, NY 11777
Mailing Address125 Oakland Ave, Ste 203 Mail Box 6Port Jefferson, NY 11777 · (631) 928-9326
Phone(631) 928-9326
Organization SubpartNo
Authorized OfficialJames E CarlsonDoctor · (631) 928-9326
Enumeration DateFebruary 14, 2011
✔ NPI 1174820955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 204062
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.
125 OAKLAND AVE, Port Jefferson, NY 11777
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

DR. ANZHELIKA VACCARO MD
Ophthalmology
125 OAKLAND AVE, SUITE 101
PORT JEFFERSON, NY 11777
Suffolk County (631) 828-7100
DR. JESSICA LYNN BLYDENBURGH D.O.
Family Medicine
125 OAKLAND AVE
PORT JEFFERSON, NY 11777
Suffolk County (631) 736-1311
PAUL FRITZ MD
Psychiatry & Neurology (Psychiatry)
125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-3122
JULIET A NICOLESCU-NICHOLS MD
Psychiatry & Neurology (Psychiatry)
125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-3122
MATHER PRIMARY CARE, PLLC
Family Medicine
125 OAKLAND AVE, SUITE 205
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2523
ANNA MCKAY LCSW
Social Worker (Clinical)
125 OAKLAND AVE
PORT JEFFERSON, NY 11777
Suffolk County (631) 729-2140
SYED K HUSSAINI M.D
Psychiatry & Neurology (Psychiatry)
125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-3122
JENNA L TAGLIENTI MD
Psychiatry & Neurology (Psychiatry)
125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777
Suffolk County (631) 729-2140

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 Family Medical Wellness PC's NPI number?

The NPI number for Family Medical Wellness PC is 1174820955. It was assigned to this organization in the NPPES registry on February 14, 2011.

Where is Family Medical Wellness PC located?

Family Medical Wellness PC is located at 125 Oakland Ave Ste 203, Port Jefferson, NY 11777. The listed phone number is (631) 928-9326.

What is Family 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 Family Medical Wellness PC was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.