Organization Active NPI

Health and Willness LLC

  • Family Nurse Practitioner
  • Piscataway, NJ
National Provider Identifier
1104572361
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTH AND WILLNESS LLC
Doing business as
Vibrant Health Clinic
Practice address
70 Joyce Kilmer Ave
Piscataway, NJ 08854-8045
Phone
(732) 708-6501
Fax
(732) 605-5763
NPI assigned
Feb 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Authorized official

Name
William Kelly, FNP-C
Title
Medical Director
Phone
(732) 708-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

70 Joyce Kilmer Ave
Piscataway, NJ 08854-8045

Mailing address

70 Joyce Kilmer Ave
Piscataway, NJ 08854-8045
Phone (732) 708-6501

Other names 1

  • Vibrant Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

70 Joyce Kilmer Ave
Piscataway, NJ 08854
Phone (732) 708-6501

NPI Registry JSON

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1104572361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JOYCE KILMER AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548045",
            "telephone_number": "732-708-6501",
            "fax_number": "732-605-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 JOYCE KILMER AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548045",
            "telephone_number": "732-708-6501",
            "fax_number": "732-605-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WILLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-708-6501",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.