MEDICAL AND WELLNESS PRACTICE PLLC NPI 1104427442

NPI Information

  • NPI: 1104427442
  • Provider Name: MEDICAL AND WELLNESS PRACTICE PLLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Address: 554 TOMPKINS AVE
    STATEN ISLAND, NY
    ZIP 10305
  • Phone: (877) 241-2772

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NPI Details

MEDICAL AND WELLNESS PRACTICE PLLC is an orthopaedic surgery of the spine orthopaedic surgery in Staten Island, NY. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. MEDICAL AND WELLNESS PRACTICE PLLC NPI is 1104427442. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

554 TOMPKINS AVE
STATEN ISLAND, NY
ZIP 10305-745
Phone: (877) 241-2772

The provider's authorized official is John Sou-cheng Shiau .
The authorized official title is President and has the following contact phone number (917) 886-5276.

The enumeration date for this NPI number is 11/3/2020 and was last updated on 2/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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