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

Functional Wellness Medical Care PLLC

Organization Family Medicine Physician · NPI 1164149001

Functional Wellness Medical Care PLLC is a Family Medicine Physician in Howard Beach, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16055 Cross Bay Blvd Unit A
Howard Beach, NY 11414-3450
Phone: (718) 210-4738
Fax: (888) 498-4123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164149001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hamza Jalal — Owner · (631) 572-9139
NPI enumeratedOctober 21, 2022
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address16055 Cross Bay Blvd, Unit A, Howard Beach, NY 11414-3450

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