Healthcare Provider Details

I. General information

NPI: 1821915364
Provider Name (Legal Business Name): MK WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 BROADWAY STE 2
PATERSON NJ
07514-3405
US

IV. Provider business mailing address

715 BROADWAY STE 2
PATERSON NJ
07514-3405
US

V. Phone/Fax

Practice location:
  • Phone: 973-914-8123
  • Fax:
Mailing address:
  • Phone: 973-914-8123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MERSIHA KONJHODZIC
Title or Position: OWNER
Credential: L. AC
Phone: 973-914-8123