Organization Active NPI

House of Wellness

  • Primary Care Nurse Practitioner
  • Caldwell, NJ
National Provider Identifier
1033875398
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HOUSE OF WELLNESS
Practice address
485 Bloomfield Ave
Caldwell, NJ 07006-5450
Phone
(201) 931-9398
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Josephine Lopez, APNNPI 1114407210
Title
NP
Phone
(973) 932-3520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

485 Bloomfield Ave
Caldwell, NJ 07006-5450

Mailing address

485 Bloomfield Ave
Caldwell, NJ 07006-5450
Phone (201) 931-9398

National Provider Directory

National Provider Directory

Locations

485 Bloomfield Ave
Caldwell, NJ 07006
Phone (201) 931-9398

Practitioners & affiliated clinicians

Practitioners 1

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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1033875398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065450",
            "telephone_number": "201-931-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065450",
            "telephone_number": "201-931-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "973-932-3520",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.