| Urban Wellness Physicians, PLLC | |
|
1349 Broadway Brooklyn NY 11221-6162 | |
| (646) 822-2566 | |
| (646) 822-2509 |
| Full Name | Urban Wellness Physicians, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1349 Broadway, Brooklyn, New York |
| Authorized Official Name and Position | Rehan Shah (OWNER) |
| Authorized Official Contact | 5167217069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Wellness Physicians, PLLC 1349 Broadway Brooklyn NY 11221-6162 Ph: (646) 822-2566 | Urban Wellness Physicians, PLLC 1349 Broadway Brooklyn NY 11221-6162 Ph: (646) 822-2566 |
| NPI Number | 1669111035 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 02/25/2025 |
| Certification Date | 02/25/2025 |
| Medicare PECOS PAC ID | 0941681092 |
|---|---|
| Medicare Enrollment ID | O20220720002035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669111035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Jonathan J Richards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649594193 PECOS PAC ID: 7113152935 Enrollment ID: I20131104001092 |
| Provider Name | Zeeshan a Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144668864 PECOS PAC ID: 2769778299 Enrollment ID: I20160909001795 |
| Provider Name | Bianca Pierre Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750936795 PECOS PAC ID: 0143653170 Enrollment ID: I20191205002173 |
| Provider Name | Hassan Elagaty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922646793 PECOS PAC ID: 1254759152 Enrollment ID: I20200909001385 |
| Provider Name | Nguyen K Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366117780 PECOS PAC ID: 7911390935 Enrollment ID: I20220215000715 |
| Provider Name | Melissa Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437818630 PECOS PAC ID: 6608261391 Enrollment ID: I20220316000321 |
| Provider Name | Rehan Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255521332 PECOS PAC ID: 6305018870 Enrollment ID: I20220720002201 |
| Provider Name | Tess Charles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013196484 PECOS PAC ID: 9931289725 Enrollment ID: I20221007002109 |
| Provider Name | Laura Rose Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629693502 PECOS PAC ID: 2668898826 Enrollment ID: I20221031002719 |
| Provider Name | Pascale Vixama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295176774 PECOS PAC ID: 2466847918 Enrollment ID: I20230216000239 |
| Provider Name | Tatiana Vanessa Duplessis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962082131 PECOS PAC ID: 3274994314 Enrollment ID: I20230804001993 |
| Provider Name | Bianca Julien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265126361 PECOS PAC ID: 2163862061 Enrollment ID: I20240425001459 |
| Provider Name | Princess Vilbrun Gervais-labady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164285938 PECOS PAC ID: 4183064405 Enrollment ID: I20240502002952 |
| Provider Name | Diana Na Cobos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730946716 PECOS PAC ID: 4183167091 Enrollment ID: I20240620001508 |
| Provider Name | Keisha Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073180055 PECOS PAC ID: 4486191616 Enrollment ID: I20240805003669 |
| Provider Name | Alana Sherise Herard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710280938 PECOS PAC ID: 1456884188 Enrollment ID: I20241101001482 |
| Provider Name | Umamah Syeda Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558941336 PECOS PAC ID: 0840726816 Enrollment ID: I20241213001755 |
| Provider Name | Hamaad Hassan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598132227 PECOS PAC ID: 9739619255 Enrollment ID: I20250212002224 |
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