Family Medical Wellness PC
NPI 1174820955 · Family Medicine Physician · Port Jefferson, NY
Family Medical Wellness PC is a Family Medicine Physician organization in Port Jefferson, NY (NPI 1174820955).
Provider details
- NPI number
- 1174820955
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Carlson, Doctor(631) 928-9326
- License
- 204062 (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
15 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
- 2011-02-14
- Last updated
- 2011-02-14
Frequently asked questions
- What is Family Medical Wellness PC's NPI number?
- Family Medical Wellness PC's National Provider Identifier (NPI) is 1174820955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Medical Wellness PC?
- Family Medical Wellness PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Family Medical Wellness PC located?
- Family Medical Wellness PC's practice location on file with NPPES is 125 Oakland Ave, Port Jefferson, NY 11777.
- What is Family Medical Wellness PC's phone number?
- The practice phone number listed in the NPPES registry for Family Medical Wellness PC is (631) 928-9326.
- Who is the authorized official for Family Medical Wellness PC?
- The authorized official listed on Family Medical Wellness PC's NPPES record is James Carlson, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Medical Wellness PC's NPI active?
- Yes — Family Medical Wellness PC's NPI (1174820955) is active in the NPPES registry as of the last update on 2011-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.