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

Community Medical Wellness PC

Organization Pain Medicine Physician · NPI 1073002473

Community Medical Wellness PC is a Pain Medicine Physician in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1041 Route 112
Port Jefferson Station, NY 11776-6000
Phone: (516) 314-5377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 276810-1 (NY)

Record details

NPI number1073002473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Defilippis — Operations Manager · (516) 314-5377
NPI enumeratedMay 2, 2018
Last updated in NPPESMay 2, 2018
Mailing addressPo Box 463, Farmingville, NY 11738-0463