Active NPI
Clinical Wellness
- Prevention Professional
- Clifton, NJ
National Provider Identifier
1477089365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 28RI03568000
- Legal business name
- CLINICAL WELLNESS
- Practice address
- 246 Clifton Ave
Suite 24
Clifton, NJ 07011-1900 - Phone
- (570) 590-7819
- NPI assigned
- May 11, 2017
- 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. Soltan Cangoz, PHARMD
- Title
- Owner
- Phone
- (570) 590-7819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 28RI03568000 | NJ | Primary |
Addresses
Primary practice location
246 Clifton Ave
Suite 24
Clifton, NJ 07011-1900
Mailing address
246 Clifton Ave
Suite 24
Clifton, NJ 07011-1900
Phone (570) 590-7819
National Provider Directory
National Provider DirectoryLocations
246 Clifton Ave
Ste 24
Clifton, NJ 07011
Phone (570) 590-7819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1477089365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 CLIFTON AVE",
"address_2": "SUITE 24",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111900",
"telephone_number": "570-590-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 CLIFTON AVE",
"address_2": "SUITE 24",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111900",
"telephone_number": "570-590-7819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "CANGOZ",
"authorized_official_first_name": "SOLTAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-590-7819",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": "NJ",
"license": "28RI03568000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.