Rejuvenative Wellness LLC
Clinic/Center, Multi-Specialty in Fort Lee, New Jersey
1164240156- Practice location
- 1600 Parker Ave Ste 1, Fort Lee, NJ 07024-7050
- Phone
- 201-302-9993
- Fax
- 201-302-9994
- Last updated
- April 26, 2025
Rejuvenative Wellness LLC is a healthcare organization based in Fort Lee, NJ. Rejuvenative Wellness LLC practices in Fort Lee, NJ. The NPI Number for Rejuvenative Wellness LLC is 1164240156. The current practice location address for Rejuvenative Wellness LLC is 1600 Parker Ave Ste 1, Fort Lee, NJ 07024-7050 and can be reached out via phone at 201-302-9993 and via fax at 201-302-9994.
Provider Profile Details
- NPI Number
- 1164240156
- Provider Name
- Rejuvenative Wellness LLC
- Provider Entity Type
- Organization
- Address
- 1600 Parker Ave Ste 1, Fort Lee, NJ 07024-7050
- Phone Number
- 201-302-9993
- Fax Number
- 201-302-9994
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Dr. Roger Mitchell, DC · Owner · 917-690-4730
- Other Names
- Ishitani Health Center (Doing Business As)
- Provider Enumeration Date
- September 30, 2024
- Last Update Date
- April 26, 2025
- Certification Date
- April 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1600 Parker Ave Ste 1
Fort Lee, NJ 07024-7050 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-7050
- Phone Number
- 201-302-9993
- Fax Number
- 201-302-9994
Provider Business Mailing Address Details
- Address
- 117 Morningside Lane
Unit A
Palisades Park, NJ 07650 - City
- Palisades Park
- State
- NJ
- Zip
- 07650
- Phone Number
- 917-690-4730
License Information
- Taxonomy (1)
- Chiropractor · 111N00000X
- Taxonomy (2)
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Rejuvenative Wellness LLC?
The NPI number of Rejuvenative Wellness LLC is 1164240156. It was assigned on September 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Rejuvenative Wellness LLC?
Rejuvenative Wellness LLC is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).
Where does Rejuvenative Wellness LLC practice?
The practice location is 1600 Parker Ave Ste 1, Fort Lee, NJ 07024-7050. The office can be reached at 201-302-9993 (phone) or 201-302-9994 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164240156 directly on the NPPES registry website.