Organization Active NPI

Anew Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Somerset, NJ
National Provider Identifier
1073918504
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ANEW WELLNESS, LLC
Practice address
270 Davidson Avenue
Suite 105
Somerset, NJ 08873-4140
Phone
(732) 328-2639
Fax
(800) 878-9212
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Mr. Jerome K Mitchell, ESQ.
Title
Ceo
Phone
(732) 328-2639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

270 Davidson Avenue
Suite 105
Somerset, NJ 08873-4140

Mailing address

270 Davidson Avenue
Suite 105
Somerset, NJ 08873-4140
Phone (732) 328-2639

National Provider Directory

National Provider Directory

Locations

270 Davidson Ave
Ste 105
Somerset, NJ 08873
Phone (732) 328-2632

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1073918504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 DAVIDSON AVENUE",
            "address_2": "SUITE 105",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734140",
            "telephone_number": "732-328-2639",
            "fax_number": "800-878-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 DAVIDSON AVENUE",
            "address_2": "SUITE 105",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734140",
            "telephone_number": "732-328-2639",
            "fax_number": "800-878-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-328-2639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.