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SEA MEDICAL WELLNESS PC
NPI 1275373516
Internal Medicine in Port Jefferson Station, NY

Active since May 24, 2024
62 JOLINE RD, PORT JEFFERSON STATION, NY 11776(631) 656-6231 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2024, Jun 5, 2024 (2 updates tracked since 2024).

About Sea Medical Wellness Pc NPPES

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

SEA MEDICAL WELLNESS PC (NPI 1275373516) is a healthcare organization registered as an internal medicine in Port Jefferson Station, New York and active in the NPI registry since May 2024. The organization lists Farhad Gazi, Owner, as its authorized official.

NPPES Registry Identity

NPI1275373516
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSEA MEDICAL WELLNESS PC
Location Address62 JOLINE RDPort Jefferson Station, NY 11776-3306
Mailing Address62 Joline RdPort Jefferson Station, NY 11776-3306 · (631) 656-6231
Phone(631) 656-6231
Organization SubpartNo
Authorized OfficialFarhad GaziOwner · (917) 328-9637
Enumeration DateMay 24, 2024
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1275373516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
62 JOLINE RD, Port Jefferson Station, NY 11776
Open in Google Maps ↗

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sea Medical Wellness PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Farhad Gazi, MD
Emergency Medicine
NPI 1023278520
10201 66TH RD MEDICAL STAFF OFFICE
Forest Hills, NY 11375
(718) 830-4200
✔ PECOS✔ Accepts Medicare44 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 Sea Medical Wellness PC's NPI number?

The NPI number for Sea Medical Wellness PC is 1275373516. It was assigned to this organization in the NPPES registry on May 24, 2024.

Where is Sea Medical Wellness PC located?

Sea Medical Wellness PC is located at 62 Joline Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 656-6231.

What is Sea Medical Wellness PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sea Medical Wellness PC enrolled in Medicare?

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

How many clinicians bill Medicare through Sea Medical Wellness PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Sea Medical Wellness PC. 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 Sea Medical Wellness PC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.