Healthcare Provider Details

I. General information

NPI: 1770116956
Provider Name (Legal Business Name): WELLBEING MEDICAL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2020
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3745 75TH STREET
JACKSON HEIGHTS NY
11372-6435
US

IV. Provider business mailing address

PO BOX 506
PLAINVIEW NY
11803-7000
US

V. Phone/Fax

Practice location:
  • Phone: 347-813-4502
  • Fax: 844-896-0187
Mailing address:
  • Phone: 516-668-9875
  • Fax: 844-896-0187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: NUVEED LOQMAN
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 516-668-9875