| Organization Name: | NORTH JERSEY HEALTH AND WELLNESS LLC |
| NPI Number: | 1285005884 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEREK BRUCE BERBERIAN (OWNER) |
| Mailing Address: | 47 Powell Rd Allendale |
| State: | NJ US |
| Postal Code: | 074012010 |
| Phone Number: | 2018198545 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2015 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 25MA09655600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |