Organization Active NPI

Keansburg Wellness Center LLC

  • Multi-Specialty Clinic/Center
  • Keansburg, NJ
National Provider Identifier
1275254567
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KEANSBURG WELLNESS CENTER LLC
Doing business as
Keansburg Wellness Center LLC
Practice address
204 Main St
Keansburg, NJ 07734-1735
Phone
(732) 495-1474
NPI assigned
Sep 6, 2022
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mr. Michael Palmieri, CEO
Title
Ceo
Phone
(917) 525-9494

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

204 Main St
Keansburg, NJ 07734-1735

Mailing address

204 Main St
Keansburg, NJ 07734-1735
Phone (732) 495-1474

Other names 1

  • Keansburg Wellness Center LLC Doing business as

National Provider Directory

National Provider Directory

Locations

204 Main St
Keansburg, NJ 07734
Phone (732) 495-1474

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1275254567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MAIN ST",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341735",
            "telephone_number": "732-495-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MAIN ST",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341735",
            "telephone_number": "732-495-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEANSBURG WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "PALMIERI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-525-9494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keansburg Wellness Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keansburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.