Healthcare Provider Details

I. General information

NPI: 1164338166
Provider Name (Legal Business Name): OMEGA WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 WARWICK TPKE
HEWITT NJ
07421-2816
US

IV. Provider business mailing address

81 WARWICK TPKE
HEWITT NJ
07421-2816
US

V. Phone/Fax

Practice location:
  • Phone: 201-704-4340
  • Fax:
Mailing address:
  • Phone: 201-704-4340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LEONARD PIKARRD
Title or Position: OWNER
Credential:
Phone: 201-704-4340