MEDICARE: IP WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1386591576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IP WELLNESS LLC

Provider Business Mailing Address
First Line	:	440 PARKER ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-1418
Country	:	US
Telephone Number	:	862-412-8570
Fax Number	:	862-412-8427

Provider Business Practice Location Address
First Line	:	440 PARKER ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104
Country	:	US
Telephone Number	:	862-412-8570
Fax Number	:	862-412-8427

Authorized Official
Title or Position	:	APN
Name	:	IRIS PEPPERS
Credential	:
Telephone Number	:	862-412-8570

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

Similar Medicare Providers

1215885603 — NEWARK COMMUNITY HEALTH CENTERS, INC.
Practice Location Address:

741 BROADWAY
NEWARK, NJ
07104-4309

Practice Phone: 973-483-1300
Practice Fax: 973-676-1396

1336096973 — A PLAY STATE OF MIND
Practice Location Address:

219 BROAD ST
NEWARK, NJ
07104-3806

Practice Phone: 201-403-0088
Practice Fax:

1356296255 — ROBERT TREAT ACADEMY CHARTER SCHOOL INC
Practice Location Address:

443 CLIFTON AVE
NEWARK, NJ
07104-1339

Practice Phone: 973-482-8811
Practice Fax:

1538168885 — NEWARK AIDS CONSORTIUM, INC
Practice Location Address:

298 BROADWAY
NEWARK, NJ
07104-4003

Practice Phone: 973-268-9797
Practice Fax: 973-483-0418

1104818129 — JOSE R GOMEZ MD
Practice Location Address:

550 MOUNT PROSPECT AVE
NEWARK, NJ
07104-1530

Practice Phone: 973-482-4697
Practice Fax: 973-482-0893

1528050531 — JULIA F PONS MD
Practice Location Address:

550 MOUNT PROSPECT AVE
NEWARK, NJ
07104-1530

Practice Phone: 973-482-4697
Practice Fax: 973-482-0893

Directions to “IP WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.