Optimal Wellness Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA05333400 Issued in NJ

Legal business name

OPTIMAL WELLNESS CENTER

Practice address

777 Franklin Ave
Franklin Lakes, NJ 07417-1308

Phone

(201) 485-7930

Fax

(201) 485-7931

NPI assigned

Jun 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Betty Keller, M.D.NPI 1972836781

Title

Medical Director

Phone

(201) 485-7930

Specialties & licenses 1

Addresses

Practitioners 1

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

• Betty Keller, MD

  • Internal Medicine Physician
  • Mahwah, NJ
  • NPI 1972836781
  NPD (past) Authorized official

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1235424581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171308",
            "telephone_number": "201-485-7930",
            "fax_number": "201-485-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171308",
            "telephone_number": "201-485-7930",
            "fax_number": "201-485-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-485-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA05333400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NP Medical Care LLC
• Dianne Marie Nunez, APN-C
• Kristine I Nylund, PT
• Natalie O'Connor, RPH
• Sandra Lee Oberc, LCSW
• Victor R Ortiz, MD
• Pain Medicine and Anesthesia PC
• Rajesh K Pandey, MD
• Argentino Pellegrino, PH.D.
• Melissa Perez, MD, MBS

• Medical Specialty Clinic/Center in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.