Healthcare Provider Details

I. General information

NPI: 1770410912
Provider Name (Legal Business Name): JF HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 FALCON PL
WAYNE NJ
07470-3505
US

IV. Provider business mailing address

15 FALCON PL
WAYNE NJ
07470-3505
US

V. Phone/Fax

Practice location:
  • Phone: 201-563-4086
  • Fax:
Mailing address:
  • Phone: 201-563-4086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAKE FREDERICK
Title or Position: OWNER
Credential: RN
Phone: 201-563-4086