Healthcare Provider Details

I. General information

NPI: 1285005884
Provider Name (Legal Business Name): NORTH JERSEY HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2015
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 S SPRUCE ST
RAMSEY NJ
07446-2549
US

IV. Provider business mailing address

227 DONNY BROOK DR
ALLENDALE NJ
07401-1422
US

V. Phone/Fax

Practice location:
  • Phone: 201-588-3491
  • Fax: 201-357-4222
Mailing address:
  • Phone: 201-588-3491
  • Fax: 201-357-4222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number25MA09655600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: ANA GUZMAN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 201-819-8545