Organization Active NPI

Fortiva Wellness, LLC

  • Family Medicine Physician
  • Cedar Knolls, NJ
National Provider Identifier
1164371985
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FORTIVA WELLNESS, LLC
Practice address
160 E Hanover Ave Ste 104
Cedar Knolls, NJ 07927-2000
Phone
(732) 887-6100
NPI assigned
Jan 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Dr. Daniela Accurso, MD, MPH, DABOMNPI 1306229000
Title
President
Phone
(732) 887-6100

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

160 E Hanover Ave Ste 104
Cedar Knolls, NJ 07927-2000

Mailing address

PO Box 1014
Morristown, NJ 07962-1014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319000096 NJ Part B Supplier - Clinic/Group Practice 8820572746 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Knolls, NJ

National Provider Directory

National Provider Directory

Locations

160 E Hanover Ave
Ste 104
Cedar Knolls, NJ 07927
Phone (732) 887-6100

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": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1164371985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E HANOVER AVE STE 104",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272000",
            "telephone_number": "732-887-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIVA WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-25",
        "status": "A",
        "authorized_official_last_name": "ACCURSO",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-887-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH, DABOM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.