WELLNY MEDICAL SERVICES PLLC (NPI# 1770140725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770140725 |
| Entity Type | Organization |
| Organization Name | WELLNY MEDICAL SERVICES PLLC |
| Practice Address |
7 W 45th St Fl 9 New York NY 10036-4905 |
| Practice Telephone | 8773315043 |
| Practice Fax Number | 9143035004 |
| Mailing Telephone | 8773315043 |
| Mailing Fax Number | 9143035004 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | MITCHELL K ROSEN (OWNER) |
| Authorized Official Telephone | 8773315004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1199 | 174280 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Bay Shore Ave, Bay Shore, NY 117067929 | 8773315043 | 9143035004 |
| Street Address |
7 W 45TH ST FL 9 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10036-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760987309 | Gabriel Uriel Escalona Palisoc | Physical Therapist | 7 W 45th St Fl 9, New York, NY 10036-4905 | 2018-03-26 |
| 1447894761 | Radhika Rajendra Gupta | Physical Therapist | 7 W 45th St Fl 9, New York, NY 10036-4905 | 2019-10-30 |
| 1750844882 | Swati Shekhada | Physical Therapist | 7 W 45th St Fl 9, New York, NY 10036-4905 | 2019-04-06 |
| 1740747955 | Maica Tuazon Padios | Physical Therapist | 7 W 45th St Fl 9, New York, NY 10036-4905 | 2019-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272999 | Caroline Edmunds Purdy | Acupuncturist | 19 West 45th Street Suite 501, New York, NY 10036 | 2020-10-09 |
| 1720612724 | Denisa Dyli | Registered Nurse | 305 West 44th Street, New York, NY 10036 | 2020-02-27 |
| 1023651148 | Trang Bui | Pharmacist | 687 9th Avenue, New York, NY 10036 | 2019-10-21 |
| 1306495361 | Desiree Polonis | Social Worker | 19 W. 45th Street, Suite 705, New York, NY 10036 | 2019-09-11 |
| 1902462575 | Darren Louie | Acupuncturist | 19 W 45th Street, Suite 501, New York, NY 10036 | 2019-05-19 |
| 1477019958 | Esoterra Acupuncture PC | Massage Therapist | 19 W 45 St, Ste 501, New York, NY 10036 | 2019-02-20 |
| 1679045009 | Novel Podiatry Pllc | Podiatrist | 28 West 44th Street, Ste 209, New York, NY 10036 | 2018-12-25 |
| 1699245274 | Anne Michelle Dearwater | Physical Therapist | 36 W44th Street Suite 403, New York, NY 10036 | 2018-11-27 |
| 1154805927 | Christine D'urso | Psychologist | 17-19 W. 45th Street, Suite 907, New York, NY 10036 | 2018-09-18 |
| 1861990335 | Therapath Partners, LLC | Clinical Medical Laboratory | 545 W 45th St Fl 7, New York, NY 10036 | 2018-01-30 |
| Find all providers in zip 10036 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197739 | Amna Omer Internal Medicine PC | Internal Medicine | 423 W 55th St Fl T4, New York, NY 10019-4460 | 2019-10-30 |
| 1891101853 | Purav Chetan Shah | Internal Medicine | 515 W 59th St Apt 5p, New York, NY 10019-1264 | 2014-07-10 |
| 1083963458 | Nadia Pletukhina | Internal Medicine | 530 1st Ave Ste 5d, New York, NY 10016 | 2012-08-31 |
| 1083961544 | Marc Xavier Bowen, PC | Internal Medicine | 114 John St # 1017, New York, NY 10038-3304 | 2012-08-14 |
| 1154601854 | Trustees of Columbia University In The City of Ny Roger A Maxfield | Internal Medicine | 16 E 60th St Ste 320, New York, NY 10022-1002 | 2011-08-25 |
| 1831498625 | Michael Bender | Internal Medicine | 425 E 61st St Ste 402, New York, NY 10065-8722 | 2011-03-20 |
| 1144540964 | Heather Siedenburg | Internal Medicine | 1 St Avenue and E 16th Street, New York, NY 10003-1012 | 2010-06-03 |
| 1871724575 | David R Dantzker | Internal Medicine | 64 E 86th St, Apt 1c, New York, NY 10028-1016 | 2009-07-30 |
| 1134358609 | Alfredo Juan Astua | Internal Medicine | 1st & 16th St, New York, NY 10003-4642 | 2009-07-06 |
| 1902069297 | Claire L Keating | Internal Medicine | 622 W 168th St Ph 8-101, New York, NY 10032-3720 | 2008-07-07 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.