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ECLIPSE INTEGRATIVE WELLNESS NP IN FAMILY HEALTH PLLC
NPI 1710785464
Family Medicine in Staten Island, NY

Active since March 06, 2025
3930 RICHMOND AVE, STATEN ISLAND, NY 10312(917) 300-1231 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eclipse Integrative Wellness Np In Family Health Pllc NPPES

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

ECLIPSE INTEGRATIVE WELLNESS NP IN FAMILY HEALTH PLLC (NPI 1710785464) is a healthcare organization registered as a family medicine in Staten Island, New York and active in the NPI registry since March 2025. The organization lists Preethi Idiculla, Owner, as its authorized official.

NPPES Registry Identity

NPI1710785464
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameECLIPSE INTEGRATIVE WELLNESS NP IN FAMILY HEALTH PLLC
Location Address3930 RICHMOND AVEStaten Island, NY 10312-5104
Mailing Address968 Wendy CtUnion, NJ 07083-5637 · (917) 858-0953
Phone(917) 300-1231
Organization SubpartNo
Authorized OfficialPreethi IdicullaOwner · (917) 858-0953
Enumeration DateMarch 6, 2025
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1710785464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3930 RICHMOND AVE, Staten Island, NY 10312
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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

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Y A ANESTHESIA PAIN MANAGEMENT PLLC
Pain Medicine (Interventional Pain Medicine)
3930 RICHMOND AVE, SUITE 101
STATEN ISLAND, NY 10312
Richmond County (917) 414-0617
TRINITY PAIN MANAGEMENT OF STATEN ISLAND, PLLC
Pain Medicine (Pain Medicine)
3930 RICHMOND AVE, SUITE 101
STATEN ISLAND, NY 10312
Richmond County (718) 966-1313
DR. LINDA BUSCH SOMACH PH.D.
Psychologist (Clinical)
3930 RICHMOND AVE, SUITE 104
STATEN ISLAND, NY 10312
Richmond County (718) 605-6383
DEBORAH CANAVAN SMITH MHC
Counselor (Mental Health)
3930 RICHMOND AVE, SUITE 104
STATEN ISLAND, NY 10312
Richmond County (718) 948-1479
CHRISTINE MINIERI LMHC
Counselor (Mental Health)
3930 RICHMOND AVE, SUITE 104
STATEN ISLAND, NY 10312
Richmond County (917) 566-4390
DR. DAVID SANDLER D.D.S.
Dentist (General Practice)
3930 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 966-0989
ELITE LEARNING STUDIO LLC
Clinic/Center (Rehabilitation)
3930 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (347) 278-1019
YVETTE R ABRAHAM MD
Pain Medicine (Interventional Pain Medicine)
3930 RICHMOND AVE, SUITE101
STATEN ISLAND, NY 10312
Richmond County (718) 296-6131

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 Eclipse Integrative Wellness Np In Family Health PLLC's NPI number?

The NPI number for Eclipse Integrative Wellness Np In Family Health PLLC is 1710785464. It was assigned to this organization in the NPPES registry on March 6, 2025.

Where is Eclipse Integrative Wellness Np In Family Health PLLC located?

Eclipse Integrative Wellness Np In Family Health PLLC is located at 3930 Richmond Ave, Staten Island, NY 10312. The listed phone number is (917) 300-1231.

What is Eclipse Integrative Wellness Np In Family Health PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Eclipse Integrative Wellness Np In Family Health PLLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.