Activelife Regenerative Therapies
Internal Medicine in Pompton Lakes, New Jersey
1225708886- Practice location
- 413 Wanaque Ave, Pompton Lakes, NJ 07442-1844
- Phone
- 973-997-0542
- Fax
- 973-831-6763
- Last updated
- January 5, 2022
Activelife Regenerative Therapies is a healthcare organization based in Pompton Lakes, NJ. Activelife Regenerative Therapies practices in Pompton Lakes, NJ. The NPI Number for Activelife Regenerative Therapies is 1225708886. The current practice location address for Activelife Regenerative Therapies is 413 Wanaque Ave, Pompton Lakes, NJ 07442-1844 and can be reached out via phone at 973-997-0542 and via fax at 973-831-6763.
Provider Profile Details
- NPI Number
- 1225708886
- Provider Name
- Activelife Regenerative Therapies
- Provider Entity Type
- Organization
- Address
- 413 Wanaque Ave, Pompton Lakes, NJ 07442-1844
- Phone Number
- 973-997-0542
- Fax Number
- 973-831-6763
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Kenneth Wolosz, DC · Owner · 973-997-0542
- Provider Enumeration Date
- September 15, 2021
- Last Update Date
- January 5, 2022
- Certification Date
- January 5, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 413 Wanaque Ave
Pompton Lakes, NJ 07442-1844 - City
- Pompton Lakes
- State
- New Jersey
- Zip
- 07442-1844
- Phone Number
- 973-997-0542
- Fax Number
- 973-831-6763
Provider Business Mailing Address Details
- Address
- 413 Wanaque Ave
Pompton Lakes, NJ 07442-1844 - City
- Pompton Lakes
- State
- NJ
- Zip
- 07442-1844
- Phone Number
- 973-997-0542
- Fax Number
- 973-831-6763
License Information
- Taxonomy
- Internal Medicine · 207R00000X · 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 Activelife Regenerative Therapies?
The NPI number of Activelife Regenerative Therapies is 1225708886. It was assigned on September 15, 2021 and is currently active in the NPPES registry.
What is the specialty of Activelife Regenerative Therapies?
Activelife Regenerative Therapies is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does Activelife Regenerative Therapies practice?
The practice location is 413 Wanaque Ave, Pompton Lakes, NJ 07442-1844. The office can be reached at 973-997-0542 (phone) or 973-831-6763 (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 1225708886 directly on the NPPES registry website.