Nova Pax Wellness LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

NOVA PAX WELLNESS LLC

Practice address

501 Delaware Ave
Roebling, NJ 08554-1904

Phone

(949) 289-1273

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clarence Cutsforth, BCDFMNPI 1710692629

Title

Founder/Director

Phone

(949) 289-1273

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clarence Cutsforth, DSC.

  • Naturopath
  • Holmdel, NJ
  • NPI 1710692629
  NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1457045320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 JACKSONVILLE SMITHVILLE RD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054009",
            "telephone_number": "949-289-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DELAWARE AVE",
            "city": "ROEBLING",
            "state": "NJ",
            "postal_code": "085541904",
            "telephone_number": "949-289-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PAX WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "CUTSFORTH",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "949-289-1273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCDFM"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Roebling, NJ
• Providers in Roebling, NJ by specialty
• Naturopath in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.