ELITE WELLNESS CLINIC NPI 1629969571

NPI Information

  • NPI: 1629969571
  • Provider Name: ELITE WELLNESS CLINIC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 365 FRANKLIN AVE
    WYCKOFF, NJ
    ZIP 07481
  • Phone: (925) 565-8498

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NPI Details

ELITE WELLNESS CLINIC is a clinic center in Wyckoff, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ELITE WELLNESS CLINIC NPI is 1629969571. The provider is registered as an organization entity type.

The provider's business location address is:

365 FRANKLIN AVE
WYCKOFF, NJ
ZIP 07481-971
Phone: (925) 565-8498

The provider's authorized official is Mehdi Pouria .
The authorized official title is Owner and has the following contact phone number (925) 565-8498.

The enumeration date for this NPI number is 7/10/2025 and was last updated on 7/10/2025.

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
1261Q00000XClinic/CenterYes

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

NPI Synchronization or Removal

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