Healthcare Provider Details
I. General information
NPI: 1780524207
Provider Name (Legal Business Name): FALCON WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5711 BERKSHIRE VALLEY RD
OAK RIDGE NJ
07438-9858
US
IV. Provider business mailing address
7 HORACE RD
OAK RIDGE NJ
07438-9121
US
V. Phone/Fax
- Phone: 973-902-3994
- Fax:
- Phone: 973-902-3994
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
DELADE
Title or Position: OWNER
Credential:
Phone: 973-902-3994