Health and Wellness Center of Dover LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00106400 Issued in NJ

Legal business name

HEALTH AND WELLNESS CENTER OF DOVER LLC

Practice address

25-27 E Dickerson St
Suite 101
Dover, NJ 07801-4655

Phone

(201) 967-8425

Fax

(201) 256-4665

NPI assigned

Sep 3, 2013

Organization subpart

No

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

Authorized official

Name

Gustavo Gonzales

Title

MSN, NP-C, CCRN

Phone

(973) 361-0750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245665710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25-27 E DICKERSON ST",
            "address_2": "SUITE 101",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078014655",
            "telephone_number": "973-361-0750",
            "fax_number": "973-343-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25-27 E DICKERSON ST",
            "address_2": "SUITE 101",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078014655",
            "telephone_number": "201-967-8425",
            "fax_number": "201-256-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS CENTER OF DOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "MSN, NP-C, CCRN",
        "authorized_official_telephone_number": "973-361-0750"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00106400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Dover, NJ
• Providers in Dover, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.