Healthcare Provider Details

I. General information

NPI: 1841911559
Provider Name (Legal Business Name): SPOTSWOOD WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 SNOWHILL ST
SPOTSWOOD NJ
08884-1358
US

IV. Provider business mailing address

14 SNOWHILL ST
SPOTSWOOD NJ
08884-1358
US

V. Phone/Fax

Practice location:
  • Phone: 732-955-6060
  • Fax: 732-210-4821
Mailing address:
  • Phone: 732-955-6060
  • Fax: 732-210-4821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED-AMR HILLAL
Title or Position: OWNER, AUTHORIZED OFFICIAL
Credential: PHARMD
Phone: 908-616-2889