Healthcare Provider Details

I. General information

NPI: 1730015918
Provider Name (Legal Business Name): TRANSFORM YOUR HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 STATE ROUTE 31
FLEMINGTON NJ
08822-5780
US

IV. Provider business mailing address

PO BOX 606
FLEMINGTON NJ
08822-0606
US

V. Phone/Fax

Practice location:
  • Phone: 973-210-3838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. SAM ORTIZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 973-210-3838