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11 Medical Drive Wellness Pllc

Emergency Medical Services (Emergency Medicine) Physician in Port Jefferson Station, NY · enumerated 2017 · authorized official Laura Roy, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902332588

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Registry record

Entity type Organization (Type 2)
Legal business name 11 Medical Drive Wellness Pllc
Parent organization Dh Management Group LLC
Practice address 11 Medical Dr, Suite B, Port Jefferson Station, NY, 11776
Phone (631) 509-6066
Fax (631) 849-5824
Enumeration date May 3, 2017
Last updated in NPPES May 3, 2017

Taxonomy & classification

207PE0004X Emergency Medical Services (Emergency Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Laura Roy
Title Practice Manager
Phone (631) 805-6384

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for 11 Medical Drive Wellness Pllc?
The NPI for 11 Medical Drive Wellness Pllc is 1902332588, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 11 Medical Drive Wellness Pllc?
NPPES lists Laura Roy (Practice Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-03.