Healthcare Provider Details

I. General information

NPI: 1720927551
Provider Name (Legal Business Name): THREE DANES WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 IRON MOUNTAIN RD
MINE HILL NJ
07803-2312
US

IV. Provider business mailing address

93 IRON MOUNTAIN RD
MINE HILL NJ
07803-2312
US

V. Phone/Fax

Practice location:
  • Phone: 973-696-0977
  • Fax:
Mailing address:
  • Phone: 973-696-0977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: JAMES SIMONELLI
Title or Position: OWNER
Credential:
Phone: 201-696-0977