DO Well Be Well of Haskell

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DO WELL BE WELL OF HASKELL

Practice address

1141 Ringwood Ave
Suite 7
Haskell, NJ 07420-1565

Phone

(973) 831-2880

Fax

(862) 248-0528

NPI assigned

Jun 17, 2013

Organization subpart

Yes

Parent organization

DO WELL BE WELLAs reported in NPPES

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

Authorized official

Name

Dr. Kevin Hall, MD

Title

Owner

Phone

(973) 831-2880

Specialties & licenses 6

Addresses

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

• Jennan Gallanthen, RN

  • Registered Nurse
  • Haskell, NJ
  • NPI 1801222302
  NPD (past)
• Kathleen Martino, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Redwood City, CA
  • NPI 1578986048
  NPD (past)

Locations

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1154760841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 RINGWOOD AVE",
            "address_2": "SUITE 7",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201565",
            "telephone_number": "973-831-2880",
            "fax_number": "862-248-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 RINGWOOD AVE",
            "address_2": "SUITE 7",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201565",
            "telephone_number": "973-831-2880",
            "fax_number": "862-248-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO WELL BE WELL OF HASKELL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DO WELL BE WELL",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-831-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Cruz
• Mary Elizabeth Defabrizio, APN-C
• Lawrence Dekoek, RPH
• Dizon Wellness Center LLC
• Marcelino Anthony Dizon, D.C.
• Melinda Donohue
• Kelly Maria Doyle
• Eon Therapy Services LLC
• Edward Evanchick, P.T.
• Danielle Nicoletta Falciglia, PHD CCC-SLP

• All providers in Haskell, NJ
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.