Active NPIOrganization

The Keansburg Wellness Center Pe LLC

Internal Medicine in Keansburg, New Jersey

NPI Number1710833348
Practice location
204 Main St, Keansburg, NJ 07734-1735
Fax
718-679-9285
Last updated
March 11, 2026

The Keansburg Wellness Center Pe LLC is a healthcare organization based in Keansburg, NJ. The Keansburg Wellness Center Pe LLC practices in Keansburg, NJ. The NPI Number for The Keansburg Wellness Center Pe LLC is 1710833348. The current practice location address for The Keansburg Wellness Center Pe LLC is 204 Main St, Keansburg, NJ 07734-1735 and can be reached out via phone at 732-495-1474 and via fax at 718-679-9285.

Provider Profile Details

NPI Number
1710833348
Provider Name
The Keansburg Wellness Center Pe LLC
Provider Entity Type
Organization
Address
204 Main St, Keansburg, NJ 07734-1735
Phone Number
732-495-1474
Fax Number
718-679-9285
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Mrs. Denise Cammarata · Credentialing · 646-421-3566
Provider Enumeration Date
March 6, 2026
Last Update Date
March 11, 2026
Certification Date
March 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 Main St
Keansburg, NJ 07734-1735
Zip
07734-1735
Phone Number
732-495-1474
Fax Number
718-679-9285
Keansburg, NJ 07734Get directions →

Provider Business Mailing Address Details

Address
233 Giffords Ln
Staten Island, NY 10308-2044
City
Staten Island
State
NY
Zip
10308-2044
Phone Number
732-495-1474
Fax Number
718-679-9285

License Information

Taxonomy
Internal Medicine · 207R00000X · 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 The Keansburg Wellness Center Pe LLC?

The NPI number of The Keansburg Wellness Center Pe LLC is 1710833348. It was assigned on March 6, 2026 and is currently active in the NPPES registry.

What is the specialty of The Keansburg Wellness Center Pe LLC?

The Keansburg Wellness Center Pe LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does The Keansburg Wellness Center Pe LLC practice?

The practice location is 204 Main St, Keansburg, NJ 07734-1735. The office can be reached at 732-495-1474 (phone) or 718-679-9285 (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 1710833348 directly on the NPPES registry website.

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