Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Lotus Medical Wellness, PC

Organization General Practice Physician · NPI 1316702988

Blue Lotus Medical Wellness, PC is a General Practice Physician in Farmingdale, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

245 Conklin St
Farmingdale, NY 11735-2659
Phone: (917) 589-5109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1316702988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanjay Shetty — Owner · (917) 589-5109
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address245 Conklin St, Farmingdale, NY 11735-2659

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