1841903192 NPI number — WELLNESS FAMILY HEALTH NP, P.C.

Table of content: (NPI 1841903192)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841903192 NPI number — WELLNESS FAMILY HEALTH NP, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WELLNESS FAMILY HEALTH NP, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841903192
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
708 BAYSIDE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH AMBOY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08879-1981
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-987-1038
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1424 RICHMOND AVE, STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STATEN ISLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10314-1527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-763-4574
Provider Business Practice Location Address Fax Number:
718-701-8103
Provider Enumeration Date:
01/03/2023

Additional Information

Authorized Official

Authorized Official Last Name:
LUM
Authorized Official First Name:
TSZHODERRICK
Authorized Official Middle Name:
Authorized Official Title or Position:
FAMILY NURSE PRACTITIONER
Authorized Official Telephone Number:
646-763-4574

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04315519 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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