REJUVENATIVE WELLNESS LLC NPI 1164240156

NPI Information

  • NPI: 1164240156
  • Provider Name: REJUVENATIVE WELLNESS LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • Address: 1600 PARKER AVE STE 1
    FORT LEE, NJ
    ZIP 07024
  • Phone: (201) 302-9993

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NPI Details

REJUVENATIVE WELLNESS LLC is a multi-specialty clinic center in Fort Lee, NJ. REJUVENATIVE WELLNESS LLC NPI is 1164240156. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1600 PARKER AVE STE 1
FORT LEE, NJ
ZIP 07024-050
Phone: (201) 302-9993
Fax: (201) 302-9994

The provider's authorized official is Roger Mitchell .
The authorized official title is Owner and has the following contact phone number (917) 690-4730.

The enumeration date for this NPI number is 9/30/2024 and was last updated on 4/26/2025.

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
1111N00000XChiropractorNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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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