Active NPI
Root Health and Wellness
- Primary Care Clinic/Center
- Newark, NJ
National Provider Identifier
1619759636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ROOT HEALTH AND WELLNESS
- Practice address
- 111 Mulberry St Apt 5K
Newark, NJ 07102-4012 - Phone
- (862) 217-5002
- NPI assigned
- Oct 16, 2023
- 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
- Kristen Denaro, NP
- Title
- Co-Owner
- Phone
- (862) 352-3005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
111 Mulberry St Apt 5K
Newark, NJ 07102-4012
Mailing address
PO Box 215
Rockaway, NJ 07866-0215
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697414400000",
"number": "1619759636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078660215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MULBERRY ST APT 5K",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071024012",
"telephone_number": "862-217-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOT HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-15",
"status": "A",
"authorized_official_last_name": "DENARO",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "862-352-3005",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.