OPTIMIZED WELLNESS NPI 1811798804

NPI Information

  • NPI: 1811798804
  • Provider Name: OPTIMIZED WELLNESS
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 140 BAY ST
    JERSEY CITY, NJ
    ZIP 07302
  • Phone: (201) 533-9883

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NPI Details

OPTIMIZED WELLNESS is a federally qualified health center (fqhc) clinic center in Jersey City, NJ. OPTIMIZED WELLNESS NPI is 1811798804. The provider is registered as an organization entity type.

The provider's business location address is:

140 BAY ST
JERSEY CITY, NJ
ZIP 07302-909
Phone: (201) 533-9883
Fax: (201) 633-2771

The provider's authorized official is Victor Chu .
The authorized official title is Coo and has the following contact phone number (732) 939-0839.

The enumeration date for this NPI number is 3/24/2025 and was last updated on 10/2/2025.

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/CenterNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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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