Active NPIOrganization

Jersey Wellness Associates LLC

Physician Assistant in Northfield, New Jersey

NPI Number1619229671
Practice location
2306 New RD, Northfield, NJ 08225-1407
Fax
—
Last updated
December 18, 2012

Jersey Wellness Associates LLC is a healthcare organization based in Northfield, NJ. Jersey Wellness Associates LLC practices in Northfield, NJ. The NPI Number for Jersey Wellness Associates LLC is 1619229671 and holds a License No. 25MP00001000 (NJ). The current practice location address for Jersey Wellness Associates LLC is 2306 New RD, Northfield, NJ 08225-1407 and can be reached out via phone at 609-513-1387.

Provider Profile Details

NPI Number
1619229671
Provider Name
Jersey Wellness Associates LLC
Provider Entity Type
Organization
Address
2306 New RD, Northfield, NJ 08225-1407
Phone Number
609-513-1387
Primary Taxonomy
Physician Assistant · 363A00000X
Organization Subpart
No
Authorized Official
Mr. Leonard Staller, PA · Owner · 609-513-1387
Provider Enumeration Date
October 15, 2012
Last Update Date
December 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2306 New RD
Northfield, NJ 08225-1407
Zip
08225-1407
Phone Number
609-513-1387
Northfield, NJ 08225Get directions →

Provider Business Mailing Address Details

Address
296 N 5TH Ave
Highland Park, NJ 08904-2953
City
Highland Park
State
NJ
Zip
08904-2953
Phone Number
609-513-1387
Fax Number
609-463-8106

License Information

License Number
25MP00001000
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Jersey Wellness Associates LLC?

The NPI number of Jersey Wellness Associates LLC is 1619229671. It was assigned on October 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Jersey Wellness Associates LLC?

Jersey Wellness Associates LLC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00001000.

Where does Jersey Wellness Associates LLC practice?

The practice location is 2306 New RD, Northfield, NJ 08225-1407. The office can be reached at 609-513-1387 (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 1619229671 directly on the NPPES registry website.

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