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WELLNESS HEALTH MEDICAL PROVIDER, P.C.
NPI 1336856830
Clinic/Center - Primary Care in East Northport, NY

Active since November 03, 2022
1 LAURA LN, EAST NORTHPORT, NY 11731(949) 325-7001 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellness Health Medical Provider, P.c. NPPES

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

WELLNESS HEALTH MEDICAL PROVIDER, P.C. (NPI 1336856830) is a healthcare organization registered as a primary care in East Northport, New York and active in the NPI registry since November 2022. The organization lists Michael Boshardy, Vp Of Legal, as its authorized official.

NPPES Registry Identity

NPI1336856830
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWELLNESS HEALTH MEDICAL PROVIDER, P.C.
Location Address1 LAURA LNEast Northport, NY 11731-4700
Mailing Address17981 Sky Park Cir, Bldg 39, Ste BcIrvine, CA 92614-6309 · (949) 325-7001 · Fax (949) 309-2797
Phone(949) 325-7001
Organization SubpartNo
Authorized OfficialMichael BoshardyVp Of Legal · (773) 814-3028
Enumeration DateNovember 3, 2022
NPPES CertifiedOctober 19, 2022
✔ NPI 1336856830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1 LAURA LN, East Northport, NY 11731
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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 Wellness Health Medical Provider, P.C.'s NPI number?

The NPI number for Wellness Health Medical Provider, P.C. is 1336856830. It was assigned to this organization in the NPPES registry on November 3, 2022.

Where is Wellness Health Medical Provider, P.C. located?

Wellness Health Medical Provider, P.C. is located at 1 Laura Ln, East Northport, NY 11731. The listed phone number is (949) 325-7001.

What is Wellness Health Medical Provider, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Wellness Health Medical Provider, P.C. was last updated on November 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.