Healthcare Provider Details

I. General information

NPI: 1932072329
Provider Name (Legal Business Name): KULA WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 PLYMOUTH ST STE 301-2
MONTCLAIR NJ
07042-2677
US

IV. Provider business mailing address

449 BLOOMFIELD AVE UNIT W202
VERONA NJ
07044-2040
US

V. Phone/Fax

Practice location:
  • Phone: 201-308-3680
  • Fax:
Mailing address:
  • Phone: 201-308-3680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLETTE ANN MORGAN
Title or Position: OWNER
Credential:
Phone: 201-248-6625