NJ HOLISTIC WELLNESS CENTER LLC NPI 1295245363

NPI Information

NPI: 1295245363
Provider Name: NJ HOLISTIC WELLNESS CENTER LLC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
31-00 BROADWAY
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 746-5329
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NJ HOLISTIC WELLNESS CENTER LLC is an acupuncturist in Fair Lawn, NJ. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. NJ HOLISTIC WELLNESS CENTER LLC NPI is 1295245363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31-00 BROADWAY
FAIR LAWN, NJ
ZIP 07410-963
Phone: (201) 746-5329

The provider's authorized official is Patrick Wong .
The authorized official title is Manager and has the following contact phone number (917) 981-0080.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 10/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171100000X	Acupuncturist	25MZ00096700	NEW JERSEY	Yes
2	171100000X	Acupuncturist	25MZ00112100	NEW JERSEY	No
3	171100000X	Acupuncturist	25MZ00115100	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1225384548	OTHER		NPI
2	1679810238	OTHER		NPI
3	25MZ00112100	OTHER	NEW JERSEY	STATE LICENSE
4	25MZ00115100	OTHER	NEW JERSEY	STATE LICENSE
5	25MZ00096700	OTHER	NEW JERSEY	STATE LICENSE
6	1801140942	OTHER		NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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