HEALTH & WELLNESS FAMILY PRACTICE SERVICE PC
NPI 1306019765
Clinic/Center - Health Service in Jamaica, NY

Active since April 08, 2008
11481 177TH PL, JAMAICA, NY 11434(718) 658-6767(718) 206-0861 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2017, Sep 21, 2016 (2 updates tracked since 2016).

About Health & Wellness Family Practice Service Pc NPPES

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

HEALTH & WELLNESS FAMILY PRACTICE SERVICE PC (NPI 1306019765) is a healthcare organization registered as a health service in Jamaica, New York and active in the NPI registry since April 2008. The organization lists Sonia Evadne Walker-adamson, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1306019765
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameHEALTH & WELLNESS FAMILY PRACTICE SERVICE PC
Location Address11481 177TH PLJamaica, NY 11434-1405
Mailing Address11481 177th PlJamaica, NY 11434-1405 · (718) 658-6767 · Fax (718) 206-0861
Fax(718) 206-0861
Organization SubpartNo
Authorized OfficialSonia Evadne Walker-adamsonOwner/president · (718) 658-6767
Enumeration DateApril 8, 2008
Last NPPES UpdateApril 27, 20172 updates tracked since enumeration
✔ NPI 1306019765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in NY · 197679
11481 177TH PL, Jamaica, NY 11434

Other Identifiers 3

Medicare PIN01818NY
Medicare UPING17727NY
Medicaid01580318NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Health & Wellness Family Practice Service 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 Health & Wellness Family Practice Service PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1184789778
114 - 81 177 PLACE
St. Albans, NY 11434
(718) 658-6767
✔ PECOS✔ Accepts MedicareSame address

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 Health & Wellness Family Practice Service PC's NPI number?

The NPI number for Health & Wellness Family Practice Service PC is 1306019765. It was assigned to this organization in the NPPES registry on April 8, 2008.

Where is Health & Wellness Family Practice Service PC located?

Health & Wellness Family Practice Service PC is located at 11481 177th Pl, Jamaica, NY 11434. The listed phone number is (718) 658-6767.

What is Health & Wellness Family Practice Service PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Health & Wellness Family Practice Service PC enrolled in Medicare?

Yes. Health & Wellness Family Practice Service PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health & Wellness Family Practice Service PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Health & Wellness Family Practice Service 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 Health & Wellness Family Practice Service PC was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.