Healthcare Provider Details

I. General information

NPI: 1881524833
Provider Name (Legal Business Name): BAYSHORE HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 N BEERS ST STE 1E
HOLMDEL NJ
07733-1500
US

IV. Provider business mailing address

721 N BEERS ST STE 1E
HOLMDEL NJ
07733-1500
US

V. Phone/Fax

Practice location:
  • Phone: 732-888-2088
  • Fax:
Mailing address:
  • Phone: 732-888-2088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name: WAI CHIU
Title or Position: PRESIDENT
Credential: LAC
Phone: 732-888-2088