BLUE COAST MEDICAL WELLNESS, PLLC
NPI 1710760376
Specialist in Aquebogue, NY

Q: What is Blue Coast Medical Wellness, PLLC's NPI number?

The NPI number for Blue Coast Medical Wellness, PLLC is 1710760376. It was assigned to this organization in the NPPES registry on August 17, 2023.

Q: What is Blue Coast Medical Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 17, 2023

740 MAIN ROAD, AQUEBOGUE, NY 11931(631) 343-4184(631) 343-4168 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blue Coast Medical Wellness, Pllc NPPES

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

BLUE COAST MEDICAL WELLNESS, PLLC (NPI 1710760376) is a healthcare organization registered as a specialist in Aquebogue, New York and active in the NPI registry since August 2023. The organization lists Gregory Brevetti, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1710760376

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBLUE COAST MEDICAL WELLNESS, PLLC

Location Address740 MAIN ROADAquebogue, NY 11931

Mailing Address4875 Sunrise Hwy Ste 302Bohemia, NY 11716-4630 · (631) 343-4184

Phone(631) 343-4184

Fax(631) 343-4168

Organization SubpartNo

Authorized OfficialGregory BrevettiOwner/provider · (917) 575-8907

Enumeration DateAugust 17, 2023

NPPES CertifiedAugust 14, 2023

✔ NPI 1710760376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

740 MAIN ROAD, Aquebogue, NY 11931

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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

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 Blue Coast Medical Wellness, PLLC's NPI number?

The NPI number for Blue Coast Medical Wellness, PLLC is 1710760376. It was assigned to this organization in the NPPES registry on August 17, 2023.

Where is Blue Coast Medical Wellness, PLLC located?

Blue Coast Medical Wellness, PLLC is located at 740 Main Road, Aquebogue, NY 11931. The listed phone number is (631) 343-4184.

What is Blue Coast Medical Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Blue Coast Medical Wellness, PLLC was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.