AGELESS NJ LLC NPI 1023608734

NPI Information

  • NPI: 1023608734
  • Provider Name: AGELESS NJ LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: AGELESS MEN'S HEALTH
  • Address: 725 RIVER RD STE 108
    EDGEWATER, NJ
    ZIP 07020
  • Phone: (901) 757-3643

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NPI Details

AGELESS NJ LLC is a primary care clinic center in Edgewater, NJ. AGELESS NJ LLC NPI is 1023608734. The provider is registered as an organization entity type.
The provider Is Doing Business As Ageless Men's Health.

The provider's business location address is:

725 RIVER RD STE 108
EDGEWATER, NJ
ZIP 07020-170
Phone: (901) 757-3643

The provider's authorized official is Amanda Wilkinson .
The authorized official title is Director Of Business Operations and has the following contact phone number (602) 796-2559.

The enumeration date for this NPI number is 1/26/2021 and was last updated on 12/19/2024.

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 Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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