Ketavita Wellness Clinic PC
Clinic/Center in Wyckoff, New Jersey
1649162439- Practice location
- 365 Franklin Ave, Wyckoff, NJ 07481-1971
- Phone
- 925-565-8498
- Fax
- —
- Last updated
- October 24, 2025
Ketavita Wellness Clinic PC is a healthcare organization based in Wyckoff, NJ. Ketavita Wellness Clinic PC practices in Wyckoff, NJ. The NPI Number for Ketavita Wellness Clinic PC is 1649162439. The current practice location address for Ketavita Wellness Clinic PC is 365 Franklin Ave, Wyckoff, NJ 07481-1971 and can be reached out via phone at 925-565-8498.
Provider Profile Details
- NPI Number
- 1649162439
- Provider Name
- Ketavita Wellness Clinic PC
- Provider Entity Type
- Organization
- Address
- 365 Franklin Ave, Wyckoff, NJ 07481-1971
- Phone Number
- 925-565-8498
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Mehdi Pouria, FNP · Owner · 925-565-8498
- Provider Enumeration Date
- July 16, 2025
- Last Update Date
- October 24, 2025
- Certification Date
- October 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Franklin Ave
Wyckoff, NJ 07481-1971 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-1971
- Phone Number
- 925-565-8498
Provider Business Mailing Address Details
- Address
- 46 W Wildwood RD
Saddle River, NJ 07458-2512 - City
- Saddle River
- State
- NJ
- Zip
- 07458-2512
License Information
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Centers near Wyckoff, NJ
View all Clinic/Centers in Wyckoff →- Alireza A. Foroushani, PCClinic/Center · NPI 1821234626
- Elite Wellness ClinicClinic/Center · NPI 1629969571
- Fitcare CorporationClinic/Center · NPI 1487895843
- Maen I Abu Ghareibeh, PHARMDPharmacist · NPI 1285533687
- Emily ToalSpecialist/Technologist, Athletic Trainer · NPI 1942109301
- Domonique S Campbell-WilsonNurse Practitioner, Family · NPI 1831004639
Frequently Asked Questions
What is the NPI number of Ketavita Wellness Clinic PC?
The NPI number of Ketavita Wellness Clinic PC is 1649162439. It was assigned on July 16, 2025 and is currently active in the NPPES registry.
What is the specialty of Ketavita Wellness Clinic PC?
Ketavita Wellness Clinic PC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Ketavita Wellness Clinic PC practice?
The practice location is 365 Franklin Ave, Wyckoff, NJ 07481-1971. The office can be reached at 925-565-8498 (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 1649162439 directly on the NPPES registry website.