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

Functional Wellness Medical Care PLLC

Organization Family Medicine Physician · NPI 1164149001

Functional Wellness Medical Care PLLC provides Family Medicine Physician services in Howard Beach, New York. Registered with an NPI since 2022.

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

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Practice location Address checks out

16055 Cross Bay Blvd Unit A
Howard Beach, NY 11414-3450
Phone: (718) 210-4738
Fax: (888) 498-4123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164149001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hamza Jalal — Owner · (631) 572-9139
NPI enumeratedOctober 21, 2022
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address16055 Cross Bay Blvd, Unit A, Howard Beach, NY 11414-3450

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