Wellness Consultation Services LLC
Organization Active NPI Multi-Specialty Clinic/Center · South River, NJ
NPI 1306089792 · NPPES record last updated Apr 14, 2009
Key facts
- NPI
- 1306089792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 00634638 (IL)
- Legal business name
- WELLNESS CONSULTATION SERVICES LLC
- Practice address
- 8 Old Bridge Tpke
South River, NJ 08882-2400 - Phone
- (732) 390-4888
- Fax
- (732) 390-0255
- NPI assigned
- Apr 14, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Betsy Rochelle Dubov, REGISTERED DIETITIAN
- Title
- President
- Phone
- (732) 816-1651
Practitioners 1
-
Betsy Rochelle Dubov, REGISTERED DIETITIAN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090605000046 | NJ | Part B Supplier - Clinic/Group Practice | 8527118918 |
Receives reassigned benefits from 1 practitioner Practice locations: South River, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 00634638 | IL | Yes |
Addresses
Primary practice location
8 Old Bridge Tpke
South River, NJ 08882-2400
Mailing address
6 Aspen CT
East Brunswick, NJ 08816-3345
Phone (732) 816-1651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053650 | Other | NJ | MEDICARE PROVIDER NUMBER |
Other providers in South River, NJ
- Steven Toma
- True Self Therapy
- Vic Anthony Urbano
- Urogynecology Associates of Central Jersey P.C.
- Walgreen Co
- Cyre Wilkins
- Anuradha Yelchur
- Mina Youssef
All providers in South River, NJ · Multi-Specialty Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.