Active NPIOrganization

Advanced Wellness And Therapy Center LLC

Nurse Practitioner, Family in Bayonne, New Jersey

NPI Number1619129202
Practice location
777 Avenue C, Bayonne, NJ 07002
Fax
—
Last updated
June 23, 2025

Advanced Wellness And Therapy Center LLC is a healthcare organization based in Bayonne, NJ. Advanced Wellness And Therapy Center LLC practices in Bayonne, NJ. The NPI Number for Advanced Wellness And Therapy Center LLC is 1619129202. The current practice location address for Advanced Wellness And Therapy Center LLC is 777 Avenue C, Bayonne, NJ 07002 and can be reached out via phone at 201-436-0911.

Provider Profile Details

NPI Number
1619129202
Provider Name
Advanced Wellness And Therapy Center LLC
Provider Entity Type
Organization
Address
777 Avenue C, Bayonne, NJ 07002
Phone Number
201-436-0911
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Jonathan T Mingoia, FNP-C, DC · Owner · 201-436-0911
Provider Enumeration Date
October 15, 2008
Last Update Date
June 23, 2025
Certification Date
June 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
777 Avenue C
Bayonne, NJ 07002
Zip
07002
Phone Number
201-436-0911
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
777 Avenue C
Bayonne, NJ 07002-2844
City
Bayonne
State
NJ
Zip
07002-2844
Phone Number
201-436-0911

License Information

Taxonomy (1)
Chiropractor · 111N00000X
Taxonomy (2)
Acupuncturist · 171100000X
Taxonomy (3)
Occupational Therapist · 225X00000X
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Advanced Wellness And Therapy Center LLC?

The NPI number of Advanced Wellness And Therapy Center LLC is 1619129202. It was assigned on October 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Advanced Wellness And Therapy Center LLC?

Advanced Wellness And Therapy Center LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).

Where does Advanced Wellness And Therapy Center LLC practice?

The practice location is 777 Avenue C, Bayonne, NJ 07002. The office can be reached at 201-436-0911 (phone).

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 1619129202 directly on the NPPES registry website.

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