Healthcare Provider Details

I. General information

NPI: 1396384848
Provider Name (Legal Business Name): BELL WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CRAWFORDS CORNER RD STE 1116D
HOLMDEL NJ
07733-1977
US

IV. Provider business mailing address

101 CRAWFORDS CORNER RD STE 1116D
HOLMDEL NJ
07733-1977
US

V. Phone/Fax

Practice location:
  • Phone: 732-226-0018
  • Fax: 732-226-3340
Mailing address:
  • Phone: 732-226-0018
  • Fax: 732-226-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DIANA DELGADO
Title or Position: BM
Credential:
Phone: 908-427-5233