MEDICARE: JOYOUS PATH TO WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1043162589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYOUS PATH TO WELLNESS

Provider Business Mailing Address
First Line	:	1600 E 19TH ST APT 4D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-7629
Country	:	US
Telephone Number	:	917-691-0773
Fax Number	:	718-719-0879

Provider Business Practice Location Address
First Line	:	1600 E 19TH ST APT 4D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-7629
Country	:	US
Telephone Number	:	917-691-0773
Fax Number	:	718-719-0879

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	NOURIDINE ADA
Credential	:	FNP
Telephone Number	:	917-691-0773

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “JOYOUS PATH TO WELLNESS ” Practice Location

Language	Start Address	Practice Location

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