11 Medical Drive Wellness PLLC
NPI 1902332588 · Emergency Medical Services (Emergency Medicine) Physician · Port Jefferson Station, NY
11 Medical Drive Wellness PLLC is a Emergency Medical Services (Emergency Medicine) Physician organization in Port Jefferson Station, NY (NPI 1902332588).
Provider details
- NPI number
- 1902332588
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Dh Management Group LLC
- Organization subpart
- Yes
- Authorized official
- Laura Roy, Practice Manager(631) 805-6384
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
9 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
- 2017-05-03
- Last updated
- 2017-05-03
Frequently asked questions
- What is 11 Medical Drive Wellness PLLC's NPI number?
- 11 Medical Drive Wellness PLLC's National Provider Identifier (NPI) is 1902332588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 11 Medical Drive Wellness PLLC?
- 11 Medical Drive Wellness PLLC is classified in the NPPES registry as Emergency Medical Services (Emergency Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is 11 Medical Drive Wellness PLLC located?
- 11 Medical Drive Wellness PLLC's practice location on file with NPPES is 11 Medical Dr, Port Jefferson Station, NY 11776-1589.
- What is 11 Medical Drive Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for 11 Medical Drive Wellness PLLC is (631) 509-6066.
- Who is the authorized official for 11 Medical Drive Wellness PLLC?
- The authorized official listed on 11 Medical Drive Wellness PLLC's NPPES record is Laura Roy, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 11 Medical Drive Wellness PLLC's NPI active?
- Yes — 11 Medical Drive Wellness PLLC's NPI (1902332588) is active in the NPPES registry as of the last update on 2017-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.