Organization Active NPI

Integrated Wellness Consulting LLC

  • Internal Medicine Physician
  • Neptune, NJ
National Provider Identifier
1013806348
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTEGRATED WELLNESS CONSULTING LLC
Practice address
301 High Pointe LN
Neptune, NJ 07753-2771
Phone
(718) 755-1507
NPI assigned
Jul 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Campetella
Title
Owner
Phone
(187) 551-5077

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

301 High Pointe LN
Neptune, NJ 07753-2771

Mailing address

301 High Pointe LN
Neptune, NJ 07753-2771

Other practice location 1

236 Richmond Valley Rd
Staten Island, NY 10309-2627
Phone (718) 755-1507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251117000007 FL Part B Supplier - Clinic/Group Practice 4082105275 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Springs, FL
O20260124000003 NJ Part B Supplier - Clinic/Group Practice 4082105275 Receives reassigned benefits from 2 practitioners
Practice locations: Neptune, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1013806348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGH POINTE LN",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGH POINTE LN",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532771",
            "telephone_number": "718-755-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Richmond Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103092627",
            "country_code": "US",
            "telephone_number": "718-755-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "CAMPETELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "187-551-5077"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.