Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Lotus Medical Wellness, PC

Organization General Practice Physician · NPI 1316702988

Blue Lotus Medical Wellness, PC provides General Practice Physician services in Farmingdale, New York. Registered with an NPI since 2024.

In the registry since
2024
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

245 Conklin St
Farmingdale, NY 11735-2659
Phone: (917) 589-5109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1316702988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanjay Shetty — Owner · (917) 589-5109
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address245 Conklin St, Farmingdale, NY 11735-2659

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