Healthcare Provider Details

I. General information

NPI: 1306759428
Provider Name (Legal Business Name): NEW JERSEY HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 OLD CAMPLAIN RD STE 2
HILLSBOROUGH NJ
08844-4394
US

IV. Provider business mailing address

120 OLD CAMPLAIN RD STE 2
HILLSBOROUGH NJ
08844-4394
US

V. Phone/Fax

Practice location:
  • Phone: 561-251-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: IAN CHARLES GROPPER
Title or Position: OWNER
Credential:
Phone: 561-251-8700