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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AVENUE MEDICAL WELLNESS PC
NPI 1871252890
Family Medicine in New York, NY

Active since December 17, 2021CLIA 33D2238554 · Waiver
535 5TH AVE RM 603, NEW YORK, NY 10017(646) 200-5750(833) 322-1167 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2026, Jul 8, 2026, Dec 17, 2021 (3 updates tracked since 2021).

About Avenue Medical Wellness Pc NPPES

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

AVENUE MEDICAL WELLNESS PC (NPI 1871252890), doing business as The Lanby, is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through October 4, 2027, maintains a secondary practice location in New York, and lists Stephanie Wallman, Lead Physician, as its authorized official.

NPPES Registry Identity

NPI1871252890
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVENUE MEDICAL WELLNESS PC
Location Address535 5TH AVE RM 603New York, NY 10017-8009
Mailing Address535 5th Ave Rm 603New York, NY 10017-8009 · (646) 200-5757 · Fax (833) 322-1167
Phone(646) 200-5750
Fax(833) 322-1167
Organization SubpartNo
Authorized OfficialStephanie WallmanLead Physician · (646) 200-5750
Enumeration DateDecember 17, 2021
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1871252890 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.
535 5TH AVE RM 603, New York, NY 10017
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Other Names 1

Doing Business AsThe Lanby

Secondary Practice Location 1

Location 1116 E 63rd St Apt 1ANew York, NY 10065-7265 · Phone (646) 200-5750

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2238554

Avenue Medical Wellness PC · New York, NY
Active · expires Oct 4, 2027
CLIA Number33D2238554
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorDr. Sylvia Chudy
Laboratory Phone(646) 200-5750
Laboratory LocationAvenue Medical Wellness PC535 Fifth Avenue, Suite 603, New York, NY 10017
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

AVENUE MEDICAL WELLNESS PC
Family Medicine
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (310) 614-3697
STEPHANIE WALLMAN D.O.
Family Medicine
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (646) 200-5750
CINDY MARIA RESTREPO RN
Registered Nurse
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (646) 200-5750
SHERA RAISEN M.D.
Family Medicine
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (646) 200-5750

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 Avenue Medical Wellness PC's NPI number?

The NPI number for Avenue Medical Wellness PC is 1871252890. It was assigned to this organization in the NPPES registry on December 17, 2021. The provider is doing business as The Lanby.

Where is Avenue Medical Wellness PC located?

Avenue Medical Wellness PC is located at 535 5th Ave Rm 603, New York, NY 10017. The listed phone number is (646) 200-5750.

What is Avenue Medical Wellness PC's specialty?

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

Does Avenue Medical Wellness PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2238554) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avenue Medical Wellness PC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.