OrganizationActive
Port Jefferson Medical Wellness, PLLC
NPI 1053975383 · Clinic/Center · Dix Hills, NY
Port Jefferson Medical Wellness, PLLC is a Clinic/Center organization in Dix Hills, NY (NPI 1053975383).
Provider details
- NPI number
- 1053975383
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Varun Bajaj, Admin(718) 554-1042
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14 Hart Pl
Dix Hills, NY 11746-6214
Phone: (718) 554-1042
Fax: (631) 978-7622
Street-level locationGet directions
Mailing address
14 Hart Pl
Dix Hills, NY 11746-6214
Other names (DBA / former)
- Doing business as
- Messi Medical Wellness
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2019-04-22
Frequently asked questions
- What is Port Jefferson Medical Wellness, PLLC's NPI number?
- Port Jefferson Medical Wellness, PLLC's National Provider Identifier (NPI) is 1053975383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Jefferson Medical Wellness, PLLC?
- Port Jefferson Medical Wellness, PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Port Jefferson Medical Wellness, PLLC located?
- Port Jefferson Medical Wellness, PLLC's practice location on file with NPPES is 14 Hart Pl, Dix Hills, NY 11746-6214.
- What is Port Jefferson Medical Wellness, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Port Jefferson Medical Wellness, PLLC is (718) 554-1042.
- Who is the authorized official for Port Jefferson Medical Wellness, PLLC?
- The authorized official listed on Port Jefferson Medical Wellness, PLLC's NPPES record is Varun Bajaj, Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Jefferson Medical Wellness, PLLC's NPI active?
- Yes — Port Jefferson Medical Wellness, PLLC's NPI (1053975383) is active in the NPPES registry as of the last update on 2019-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.