INTEGRATIVE WELLNESS & COSMETICS INC NPI 1821505462

NPI Information

  • NPI: 1821505462
  • Provider Name: INTEGRATIVE WELLNESS & COSMETICS, INC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: STUDIO 17 COSMETICS & WELLNESS
  • Address: 601 9TH ST
    HOBOKEN, NJ
    ZIP 07030
  • Phone: (201) 301-4344

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NPI Details

INTEGRATIVE WELLNESS & COSMETICS, INC is a medical specialty clinic center in Hoboken, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). INTEGRATIVE WELLNESS & COSMETICS, INC NPI is 1821505462. The provider is registered as an organization entity type.
The provider Is Doing Business As Studio 17 Cosmetics & Wellness.

The provider's business location address is:

601 9TH ST
HOBOKEN, NJ
ZIP 07030-428
Phone: (201) 301-4344

The provider's authorized official is Briza Walter .
The authorized official title is Medical Director and has the following contact phone number (201) 301-4344.

The enumeration date for this NPI number is 1/4/2018 and was last updated on 8/17/2020.

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
1261QM2500XClinic/CenterMedical Specialty25MA09325400NEW JERSEYYes

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
125MA09325400OTHERNEW JERSEYMEDICAL LICENSE

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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