OrganizationActive
Blue Coast Medical Wellness, PLLC
NPI 1710760376 · Specialist · Aquebogue, NY
Blue Coast Medical Wellness, PLLC is a Specialist organization in Aquebogue, NY (NPI 1710760376).
Provider details
- NPI number
- 1710760376
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Gregory Brevetti, Owner/Provider(917) 575-8907
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
740 Main Road
Aquebogue, NY 11931
Phone: (631) 343-4184
Fax: (631) 343-4168
Approximate (ZIP-level) locationGet directions
Mailing address
4875 Sunrise Hwy Ste 302
Bohemia, NY 11716-4630
Registry dates
- Enumerated
- 2023-08-17
- Last updated
- 2023-08-17
- Certified
- 2023-08-14
Frequently asked questions
- What is Blue Coast Medical Wellness, PLLC's NPI number?
- Blue Coast Medical Wellness, PLLC's National Provider Identifier (NPI) is 1710760376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Coast Medical Wellness, PLLC?
- Blue Coast Medical Wellness, PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Blue Coast Medical Wellness, PLLC located?
- Blue Coast Medical Wellness, PLLC's practice location on file with NPPES is 740 Main Road, Aquebogue, NY 11931.
- What is Blue Coast Medical Wellness, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Coast Medical Wellness, PLLC is (631) 343-4184.
- Who is the authorized official for Blue Coast Medical Wellness, PLLC?
- The authorized official listed on Blue Coast Medical Wellness, PLLC's NPPES record is Gregory Brevetti, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Coast Medical Wellness, PLLC's NPI active?
- Yes — Blue Coast Medical Wellness, PLLC's NPI (1710760376) is active in the NPPES registry as of the last update on 2023-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.