Active NPIOrganization

Restoravive Mental Health & Wellness LLC

Nurse Practitioner, Psych/Mental Health in Fords, New Jersey

NPI Number1649175589
Practice location
24 Wick Dr, Fords, NJ 08863-1407
Fax
888-221-3637
Last updated
October 12, 2026

Restoravive Mental Health & Wellness LLC is a healthcare organization based in Fords, NJ. Restoravive Mental Health & Wellness LLC practices in Fords, NJ. The NPI Number for Restoravive Mental Health & Wellness LLC is 1649175589. The current practice location address for Restoravive Mental Health & Wellness LLC is 24 Wick Dr, Fords, NJ 08863-1407 and can be reached out via phone at 732-433-4077 and via fax at 888-221-3637.

Provider Profile Details

NPI Number
1649175589
Provider Name
Restoravive Mental Health & Wellness LLC
Provider Entity Type
Organization
Address
24 Wick Dr, Fords, NJ 08863-1407
Phone Number
732-433-4077
Fax Number
888-221-3637
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Santria Chineme · Apn · 732-433-4077
Provider Enumeration Date
October 12, 2026
Last Update Date
October 12, 2026
Certification Date
October 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Wick Dr
Fords, NJ 08863-1407
City
Fords
Zip
08863-1407
Phone Number
732-433-4077
Fax Number
888-221-3637
Fords, NJ 08863Get directions →

Provider Business Mailing Address Details

Address
24 Wick Dr
Fords, NJ 08863-1407
City
Fords
State
NJ
Zip
08863-1407
Phone Number
732-433-4077
Fax Number
888-221-3637

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Restoravive Mental Health & Wellness LLC?

The NPI number of Restoravive Mental Health & Wellness LLC is 1649175589. It was assigned on October 12, 2026 and is currently active in the NPPES registry.

What is the specialty of Restoravive Mental Health & Wellness LLC?

Restoravive Mental Health & Wellness LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Restoravive Mental Health & Wellness LLC practice?

The practice location is 24 Wick Dr, Fords, NJ 08863-1407. The office can be reached at 732-433-4077 (phone) or 888-221-3637 (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 1649175589 directly on the NPPES registry website.

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