Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

5th Avenue Wellness Medicine PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1053063644

5th Avenue Wellness Medicine PC provides Pain Medicine (Anesthesiology) Physician services in Forest Hills, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10837 71st Ave
Forest Hills, NY 11375-4566
Phone: (347) 233-4988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1053063644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Nayshtut — Do/Owner · (347) 233-4988
NPI enumeratedJanuary 25, 2022
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address10837 71st Ave, Forest Hills, NY 11375-4566

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