Community Medical Wellness PC
NPI 1073002473 · Pain Medicine Physician · Port Jefferson Station, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Community Medical Wellness PC is a Pain Medicine Physician organization in Port Jefferson Station, NY (NPI 1073002473).
Provider details
- NPI number
- 1073002473
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Defilippis, Operations Manager(516) 314-5377
- License
- 276810-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2018-05-02
Frequently asked questions
- What is Community Medical Wellness PC's NPI number?
- Community Medical Wellness PC's National Provider Identifier (NPI) is 1073002473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Medical Wellness PC?
- Community Medical Wellness PC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Community Medical Wellness PC located?
- Community Medical Wellness PC's practice location on file with NPPES is 1041 Route 112, Port Jefferson Station, NY 11776-6000.
- What is Community Medical Wellness PC's phone number?
- The practice phone number listed in the NPPES registry for Community Medical Wellness PC is (516) 314-5377.
- Does Community Medical Wellness PC accept Medicare?
- Community Medical Wellness PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Community Medical Wellness PC?
- The authorized official listed on Community Medical Wellness PC's NPPES record is Christopher Defilippis, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Medical Wellness PC's NPI active?
- Yes — Community Medical Wellness PC's NPI (1073002473) is active in the NPPES registry as of the last update on 2018-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.