Proactive Health & Wellness

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

PROACTIVE HEALTH & WELLNESS

Doing business as

TelewellnessND

Practice address

714 W White Horse Pike
Egg Harbor City, NJ 08215-3838

Phone

(609) 732-0101

NPI assigned

Dec 15, 2023

Last updated

Dec 15, 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. Nancy FriedNPI 1659036150

Title

Medical Director

Phone

(609) 732-0101

Specialties & licenses 7

Addresses

Other names 1

• TelewellnessND Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Proactive Health Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Proactive Health & Wellness

  • Primary Care Nurse Practitioner
  • Egg Harbor City, NJ
  • NPI 1861134132
  NPD tax ID

Locations

Practitioners 2

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.

• Nancy Jane Fried, DNP, APN

  • Primary Care Nurse Practitioner
  • Egg Harbor City, NJ
  • NPI 1659036150

  Gerontology

  Medicare reassignment NPD Authorized official
• Sam Jonuzi

  • Nutritionist
  • Egg Harbor City, NJ
  • NPI 1760994594
  NPD

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1518735836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W WHITE HORSE PIKE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153838",
            "telephone_number": "609-732-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W WHITE HORSE PIKE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153838",
            "telephone_number": "609-732-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-732-0101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TelewellnessND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Pabst, PTA
• Pantano & Rossi Chiropractic Center II, PA (Egg Harbor Chiropractic Center)
• Carlos G Penaloza Aranibar, MD
• Premiere Wellness Care (IV Nutrition)
• Primo Healthcare Services, LLC.
• Proactive Health & Wellness
• Progressive Living Units Systems, Inc
• Leah J Reedy, M.S., CCC-SLP
• Richard Carlson LLC (Optimal Health Chiropractic and Sport Injury)
• Crystal Elizabeth Riotta, MS, CCC-SLP

• Public Health & General Preventive Medicine Physician in Egg Harbor City, NJ
• Providers in Egg Harbor City, NJ by specialty
• Public Health & General Preventive Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.