Healthcare Provider Details

I. General information

NPI: 1508693573
Provider Name (Legal Business Name): NEXT LEVEL WELLNESS NJ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 INTERNATIONAL DR S
FLANDERS NJ
07836-4107
US

IV. Provider business mailing address

30 INTERNATIONAL DR S
FLANDERS NJ
07836-4107
US

V. Phone/Fax

Practice location:
  • Phone: 973-803-6210
  • Fax:
Mailing address:
  • Phone: 973-803-6210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK T BELLO
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 973-803-6210