ELEVATEDWELLCARELLC NPI 1215876230

NPI Information

  • NPI: 1215876230
  • Provider Name: ELEVATEDWELLCARELLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 23204 131ST AVE
    LAURELTON, NY
    ZIP 11413
  • Phone: (347) 733-0643

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NPI Details

ELEVATEDWELLCARELLC is a primary care clinic center in Laurelton, NY. ELEVATEDWELLCARELLC NPI is 1215876230. The provider is registered as an organization entity type.

The provider's business location address is:

23204 131ST AVE
LAURELTON, NY
ZIP 11413-811
Phone: (347) 733-0643

The provider's authorized official is Nicole Sadler .
The authorized official title is Owner and has the following contact phone number (347) 733-0643.

The enumeration date for this NPI number is 3/26/2026 and was last updated on 3/26/2026.

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
1261QP2300XClinic/CenterPrimary CareYes

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

NPI Synchronization or Removal

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