Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REVOLUTION WELLNESS NP IN ADULT HEALTH PLLC
NPI 1235046392
Nurse Practitioner - Adult Health in Farmingville, NY

Q: What is Revolution Wellness Np In Adult Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since August 25, 2026

296 S BICYCLE PATH, FARMINGVILLE, NY 11738(631) 997-8799 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Revolution Wellness Np In Adult Health Pllc NPPES

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

REVOLUTION WELLNESS NP IN ADULT HEALTH PLLC (NPI 1235046392) is a healthcare organization registered as an adult health in Farmingville, New York and active in the NPI registry since August 2026. The organization lists Jelisa Dopwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1235046392

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameREVOLUTION WELLNESS NP IN ADULT HEALTH PLLC

Location Address296 S BICYCLE PATHFarmingville, NY 11738-2124

Mailing Address121 Main St # 1007Northport, NY 11768-1721 · (631) 997-8799 · Fax (209) 589-0420

Phone(631) 997-8799

Organization SubpartNo

Authorized OfficialJelisa DopwellOwner · (631) 997-8799

Enumeration DateAugust 25, 2026

NPPES CertifiedAugust 25, 2026

✔ NPI 1235046392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

296 S BICYCLE PATH, Farmingville, NY 11738

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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

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 Revolution Wellness Np In Adult Health PLLC's NPI number?

The NPI number for Revolution Wellness Np In Adult Health PLLC is 1235046392. It was assigned to this organization in the NPPES registry on August 25, 2026.

Where is Revolution Wellness Np In Adult Health PLLC located?

Revolution Wellness Np In Adult Health PLLC is located at 296 S Bicycle Path, Farmingville, NY 11738. The listed phone number is (631) 997-8799.

What is Revolution Wellness Np In Adult Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Revolution Wellness Np In Adult Health PLLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.