Healthcare Provider Details

I. General information

NPI: 1306708383
Provider Name (Legal Business Name): NOVA HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 BROAD AVE STE 101
RIDGEFIELD NJ
07657-1631
US

IV. Provider business mailing address

13 COLONIAL RD
TENAFLY NJ
07670-1412
US

V. Phone/Fax

Practice location:
  • Phone: 201-960-5808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ZHONGYING LIU-AN
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 201-960-5808