1. Home
  2. Directory
  3. New York
  4. Purchase
  5. Clinic Center
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MODERN MEDICAL WELLNESS, PLLC
NPI 1790684264
Clinic/Center - Medical Specialty in Purchase, NY

Active since November 02, 2026
3010 WESTCHESTER AVE STE 105, PURCHASE, NY 10577(914) 865-7101 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Modern Medical Wellness, Pllc NPPES

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

MODERN MEDICAL WELLNESS, PLLC (NPI 1790684264) is a healthcare organization registered as a medical specialty in Purchase, New York and active in the NPI registry since November 2026. The organization lists Jan Zislis, Owner, as its authorized official.

NPPES Registry Identity

NPI1790684264
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMODERN MEDICAL WELLNESS, PLLC
Location Address3010 WESTCHESTER AVE STE 105Purchase, NY 10577-2524
Mailing Address3010 Westchester Ave Ste 105Purchase, NY 10577-2524 · (914) 865-7101
Phone(914) 865-7101
Organization SubpartNo
Authorized OfficialJan ZislisOwner · (860) 729-0960
Enumeration DateNovember 2, 2026
NPPES CertifiedNovember 2, 2026
✔ NPI 1790684264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3010 WESTCHESTER AVE STE 105, Purchase, NY 10577
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

JAN ZISLIS, M.D., PLLC
Internal Medicine
3010 WESTCHESTER AVE STE 105
PURCHASE, NY 10577
Westchester County (914) 984-5052
DR. JAN ZISLIS M.D.
Emergency Medicine
3010 WESTCHESTER AVE STE 105
PURCHASE, NY 10577
Westchester County (914) 984-5052

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 Modern Medical Wellness, PLLC's NPI number?

The NPI number for Modern Medical Wellness, PLLC is 1790684264. It was assigned to this organization in the NPPES registry on November 2, 2026.

Where is Modern Medical Wellness, PLLC located?

Modern Medical Wellness, PLLC is located at 3010 Westchester Ave Ste 105, Purchase, NY 10577. The listed phone number is (914) 865-7101.

What is Modern Medical Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Modern Medical Wellness, PLLC was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.