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NORTHSHORE WELLNESS MEDICAL PC
NPI 1881340628
Clinic/Center in East Islip, NY

Active since March 01, 2022
88 E MAIN ST, EAST ISLIP, NY 11730(631) 885-2364 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northshore Wellness Medical Pc NPPES

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

NORTHSHORE WELLNESS MEDICAL PC (NPI 1881340628), doing business as Port Wellness South, is a healthcare organization registered as a clinic/center in East Islip, New York and active in the NPI registry since March 2022. The organization lists Frank Lunati, Owner, as its authorized official.

NPPES Registry Identity

NPI1881340628
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNORTHSHORE WELLNESS MEDICAL PC
Location Address88 E MAIN STEast Islip, NY 11730-2528
Mailing Address32 Roslyn CtPort Jefferson, NY 11777-1433 · (631) 885-2364
Phone(631) 885-2364
Organization SubpartNo
Authorized OfficialFrank LunatiOwner · (631) 885-2364
Enumeration DateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1881340628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
88 E MAIN ST, East Islip, NY 11730
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Other Names 1

Doing Business AsPort Wellness South

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 Northshore Wellness Medical PC's NPI number?

The NPI number for Northshore Wellness Medical PC is 1881340628. It was assigned to this organization in the NPPES registry on March 1, 2022. The provider is doing business as Port Wellness South.

Where is Northshore Wellness Medical PC located?

Northshore Wellness Medical PC is located at 88 E Main St, East Islip, NY 11730. The listed phone number is (631) 885-2364.

What is Northshore Wellness Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Northshore Wellness Medical PC was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.