Healthcare Provider Details

I. General information

NPI: 1679494280
Provider Name (Legal Business Name): WELLCOME THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 AMSTERDAM AVE
PASSAIC NJ
07055-2443
US

IV. Provider business mailing address

133 AMSTERDAM AVE
PASSAIC NJ
07055-2443
US

V. Phone/Fax

Practice location:
  • Phone: 201-255-7975
  • Fax:
Mailing address:
  • Phone: 201-255-7975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ALEKSANDR P PESAH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 201-255-7975