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

Family Medical Wellness PC

Organization Family Medicine Physician · NPI 1174820955

Family Medical Wellness PC is a Family Medicine Physician in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

125 Oakland Ave Ste 203
Port Jefferson, NY 11777
Phone: (631) 928-9326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 204062 (NY)

Record details

NPI number1174820955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Carlson — Doctor · (631) 928-9326
NPI enumeratedFebruary 14, 2011
Last updated in NPPESFebruary 14, 2011
Mailing address125 Oakland Ave, Ste 203 Mail Box 6, Port Jefferson, NY 11777

Other providers in Port Jefferson