Wellformed AI

NPI 1316516495 · live from the CMS NPI Registry

Elite Medical Wellness Center P.C.

Family Medicine, Bariatric Medicine in Darien, CT. National Provider Identifier 1316516495, active.

NPI record

NPI1316516495 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine, Bariatric Medicine 207QB0002X
Practice location106 Noroton Ave, Darien, CT 06820
Practice phone203-202-7688
Mailing address99 Dutch Hill Rd, Orangeburg, NY 10962
EnumeratedJune 22, 2021
Last updatedDecember 21, 2023
Authorized officialCourtney Murray, Project Manager

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine, Sports Medicine207QS0010X—
Family Medicine, Sleep Medicine207QS1201X—
Family Medicine, Adult Medicine207QA0505X—
Allergy & Immunology, Allergy207KA0200X—
Family Medicine, Adolescent Medicine207QA0000X—
Dietitian, Registered133V00000X—
Dietitian, Registered, Nutrition, Obesity and Weight Management133VN1201X—
Ophthalmology207W00000X—
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery207WX0200X—
Family Medicine, Bariatric Medicine primary207QB0002X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.