Organization Active NPI

Purelife Wellness & Medspa LLC

  • Health Service Clinic/Center
  • Linden, NJ
National Provider Identifier
1548138951
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PURELIFE WELLNESS & MEDSPA LLC
Practice address
423 N Wood Ave
Linden, NJ 07036-4168
Phone
(908) 290-0775
NPI assigned
Oct 27, 2025
Last updated
Oct 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Katherin Juliana Rodriguez
Title
Owner / Managing Member
Phone
(732) 781-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

423 N Wood Ave
Linden, NJ 07036-4168

Mailing address

423 N Wood Ave
Linden, NJ 07036-4168
Phone (908) 290-0775

National Provider Directory

National Provider Directory

Locations

423 N Wood Ave
Linden, NJ 07036
Phone (908) 290-0775

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1548138951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364168",
            "telephone_number": "908-290-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364168",
            "telephone_number": "908-290-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURELIFE WELLNESS & MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "KATHERIN",
        "authorized_official_middle_name": "JULIANA",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "732-781-6410"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.