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

Chungdam Wellness Group, Inc

Organization Health Service Clinic/Center · NPI 1730463183

Chungdam Wellness Group, Inc is a Health Service Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

315 5th Ave Ste 1001
New York, NY 10016-6510
Phone: (212) 685-1004
Fax: (212) 685-1007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 254812 (NY)
Health Service Clinic/Center Taxonomy 261QH0100X · Licence 004553 (NY)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 032406 (NY)

Record details

NPI number1730463183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Persaud — Medical Director · (212) 685-1004
NPI enumeratedOctober 4, 2011
Last updated in NPPESOctober 4, 2011
Mailing address315 5th Ave Ste 1001, New York, NY 10016-6510

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