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WELLNESS FUNDAMENTALS INC.
NPI 1396312948
Nurse Practitioner - Family in Bronx, NY

Active since June 10, 2021
100 ALCOTT PL APT 4K, BRONX, NY 10475(917) 346-1806 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellness Fundamentals Inc. NPPES

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

WELLNESS FUNDAMENTALS INC. (NPI 1396312948) is a healthcare organization registered as a family in Bronx, New York and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Bronx and lists Lorraine Jaysura, Officer, as its authorized official.

NPPES Registry Identity

NPI1396312948
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWELLNESS FUNDAMENTALS INC.
Location Address100 ALCOTT PL APT 4KBronx, NY 10475-4153
Mailing AddressPo Box 651Bronx, NY 10475-0651 · (917) 346-1806
Phone(917) 346-1806
Organization SubpartNo
Authorized OfficialLorraine JaysuraOfficer · (917) 346-1806
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1396312948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
100 ALCOTT PL APT 4K, Bronx, NY 10475
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Secondary Practice Location 1

Location 11469 Astor Ave Fl 1Bronx, NY 10469-5846 · Phone (917) 346-1806

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 Wellness Fundamentals Inc.'s NPI number?

The NPI number for Wellness Fundamentals Inc. is 1396312948. It was assigned to this organization in the NPPES registry on June 10, 2021.

Where is Wellness Fundamentals Inc. located?

Wellness Fundamentals Inc. is located at 100 Alcott Pl Apt 4K, Bronx, NY 10475. The listed phone number is (917) 346-1806.

What is Wellness Fundamentals Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wellness Fundamentals Inc. was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.