Active NPI
Your Wellness Medical Group LLC
- Internal Medicine Physician
- Teaneck, NJ
National Provider Identifier
1245058098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- YOUR WELLNESS MEDICAL GROUP LLC
- Practice address
- 765 Teaneck Rd
Teaneck, NJ 07666-4248 - Phone
- (973) 953-3643
- NPI assigned
- Oct 1, 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
- Dr. Michael Ojelade, DNP
- Title
- Managing Partner
- Phone
- (973) 953-3643
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
765 Teaneck Rd
Teaneck, NJ 07666-4248
Mailing address
765 Teaneck Rd
Teaneck, NJ 07666-4248
Phone (973) 953-3643
National Provider Directory
National Provider DirectoryLocations
765 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-2211
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Wayne, NJ
- NPI 1710279534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1245058098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664248",
"telephone_number": "973-953-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664248",
"telephone_number": "973-953-3643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR WELLNESS MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "OJELADE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "973-953-3643",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"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 Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.