DYNAMIC WELLNESS SOLUTIONS (NPI# 1053826800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053826800 |
| Entity Type | Organization |
| Organization Name | DYNAMIC WELLNESS SOLUTIONS |
| Practice Address |
95 Grant Ave New Providence NJ 07974-2521 |
| Practice Telephone | 9737142159 |
| Practice Fax Number | 9086650621 |
| Mailing Telephone | 9737142159 |
| Mailing Fax Number | 9086650621 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | MRS. LUCIE THIBEAUD TCHOUASSI (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9737142159 |
| Authorized Official Credential | E.I.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
95 GRANT AVE |
| City | NEW PROVIDENCE |
| State | NJ |
| Zip Code | 07974-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775996 | A & J Majestic Care, LLC | In Home Supportive Care | 36 High Street, New Providence, NJ 07974 | 2018-09-25 |
| 1790222131 | Lantern Hill, Inc. | Skilled Nursing Facility | 537 Mountain Avenue, Attn: Extended Care Adminstrator, New Providence, NJ 07974 | 2017-01-24 |
| 1770960585 | Brett Pearsall | Chiropractor | 571 Central Ave Ste 103, New Providence, NJ 07974 | 2015-04-30 |
| 1548591340 | Sushmita Srivastav | Internal Medicine | 535 Mountain Ave, New Providence, NJ 07974 | 2010-01-19 |
| 1548406465 | Benjamin Mark Schneider | Radiology | 1811 Springfield Avenue, Summit Radiological Associates, New Providence, NJ 07974 | 2008-12-23 |
| 1033314042 | Jeffrey T Leary | Orthopaedic Surgery | 550 Central Ave Ste 500, New Providence, NJ 07974 | 2007-06-19 |
| 1336369925 | James Michael Rubino | Dentist | 598 Central Avenue, New Providence, NJ 07974 | 2007-04-26 |
| 1194942839 | Patricia A Baroff | Social Worker | 114 Glenside Road, Murray Hill, NJ 07974 | 2007-04-20 |
| 1497873244 | Gastrocare, LLC | Internal Medicine | 571 Central Avenue, Suite 112, New Providence, NJ 07974 | 2007-03-27 |
| 1629196134 | Carlos Moglianesi, D.m.d. PC | Dentist | 1806 Springfield Ave., New Providence, NJ 07974 | 2007-03-26 |
| Find all providers in zip 07974 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124548151 | Community Access Unlimitd Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1176 Springfield Ave # 1b, New Providence, NJ 07974-2948 | 2017-06-21 |
| 1770003709 | Community Access Unlimitd Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1180 Springfield Ave # 2b, New Providence, NJ 07974-1933 | 2017-06-21 |
| 1386174654 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 Pine Way, New Providence, NJ 07974-1819 | 2017-06-19 |
| 1710417654 | Community Access Unlimitd Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1180 Springfield Ave # 2a, New Providence, NJ 07974-1933 | 2017-06-14 |
| 1144604026 | The Arc of Union County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Possum Way, New Providence, NJ 07974-1214 | 2015-07-10 |
| 1265816169 | The Arc of Union County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 182 Runnymede Pkwy, New Providence, NJ 07974-1442 | 2015-07-10 |
| 1508248550 | The Arc of Union County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Springfield Ave, New Providence, NJ 07974-2440 | 2015-06-26 |
| 1003297540 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1141 Springfield Ave, New Providence, NJ 07974-2228 | 2015-06-10 |
| 1134467673 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 76 Floral Ave, New Providence, NJ 07974-1511 | 2013-01-17 |
| 1083118947 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1141 Springfield Ave, New Providence, NJ 07974-2228 | 2018-03-23 |
| Find all providers in NEW PROVIDENCE | ||||
| City | NEW PROVIDENCE |
| Zip Code | 07974 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.