DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WELLNESS PHYSICAL MEDICINE & REHABILITATION PC

MEDICARE: WELLNESS PHYSICAL MEDICINE & REHABILITATION PC
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
1261QM2500XMedical Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205636289
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS PHYSICAL MEDICINE & REHABILITATION PC
Provider Business Mailing Address
First Line : 18016 WEXFORD TER STE CB
Second Line :
City : JAMAICA
State : NY
Zip : 11432-3004
Country : US
Telephone Number : 718-658-5639
Fax Number : 718-657-5607
Provider Business Practice Location Address
First Line : 18016 WEXFORD TER STE CB
Second Line :
City : JAMAICA
State : NY
Zip : 11432-3004
Country : US
Telephone Number : 718-658-5639
Fax Number : 718-657-5607
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. HASAN CHUGHTAI
Credential : DO
Telephone Number : 718-658-5639
Provider Enumeration Date : 03/18/2025
Last Update Date : 03/12/2026

Similar Medicare Providers

1396749214 — SAROJ GUPTA MD
Practice Location Address:
18016 WEXFORD TER , STE CB
JAMAICA, NY
11432-3004
Practice Phone: 718-658-5639
Practice Fax: 718-865-9108
1093719742 — SWARN KUMAR GUPTA M.D.
Practice Location Address:
18016 WEXFORD TER , STE CC
JAMAICA, NY
11432-3004
Practice Phone: 718-657-6434
Practice Fax: 718-657-5606
1124288253 — DR. HASAN CHUGHTAI DO
Practice Location Address:
18016 WEXFORD TER STE CB
JAMAICA, NY
11432-3004
Practice Phone: 516-527-8688
Practice Fax:
1710114053 — DR. GYANI JOSHI DPT, MPT, PT
Practice Location Address:
13912 86TH RD
JAMAICA, NY
11435-3004
Practice Phone: 917-362-9101
Practice Fax:
1528990041 — TIFFANY TELFORD MHC-LP
Practice Location Address:
17561 HILLSIDE AVE STE 202
JAMAICA, NY
11432-5771
Practice Phone: 917-704-8331
Practice Fax:
1497491955 — DR. SONIA RANDHAWA MD
Practice Location Address:
ICAHN SCHOOL OF MEDICINE MOUNT SINAI NYC HEALTH & HOSPI , 82-68, 164TH STREET
JAMAICA, QUEENS, NY
11432
Practice Phone: 718-833-4037
Practice Fax:

Directions to “WELLNESS PHYSICAL MEDICINE & REHABILITATION PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.