Organization Active NPI

Family Wholeness & Wellness LLC

  • Physical Therapy Clinic/Center
  • Metuchen, NJ
National Provider Identifier
1104587898
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FAMILY WHOLENESS & WELLNESS LLC
Practice address
323 Main St
Metuchen, NJ 08840-2476
Phone
(732) 881-4136
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Joanna Ewelina Decowska, DPTNPI 1790999217
Title
President
Phone
(732) 881-4136

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

323 Main St
Metuchen, NJ 08840-2476

Mailing address

323 Main St
Metuchen, NJ 08840-2476
Phone (732) 881-4136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220405002764 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971999657 Receives reassigned benefits from 1 practitioner
Practice locations: Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

323 Main St
Metuchen, NJ 08840
Phone (732) 243-9715

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": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1104587898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402476",
            "telephone_number": "732-881-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402476",
            "telephone_number": "732-881-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WHOLENESS & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "DECOWSKA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "EWELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-881-4136",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.