Active NPI
Nu Forma Wellness NJ LLC
- Internal Medicine Physician
- Montclair, NJ
National Provider Identifier
1184476277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NU FORMA WELLNESS NJ LLC
- Practice address
- 127 Valley Rd
Montclair, NJ 07042-2370 - Phone
- (212) 448-5996
- NPI assigned
- Apr 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francis Onwochei, MD
- Title
- Medical Director
- Phone
- (516) 603-4284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
127 Valley Rd
Montclair, NJ 07042-2370
Mailing address
127 Valley Rd
Montclair, NJ 07042-2370
Phone (212) 448-5996
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2311708 | Nu Forma Wellness NJ LLC | Certificate of waiver | Sep 25, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Neptune, NJ
- NPI 1053067140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1184476277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 VALLEY RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422370",
"telephone_number": "212-448-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 VALLEY RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422370",
"telephone_number": "212-448-5996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NU FORMA WELLNESS NJ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "ONWOCHEI",
"authorized_official_first_name": "FRANCIS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "516-603-4284",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.