Chaviv TRT & Wellness Clinic LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

CHAVIV TRT & WELLNESS CLINIC LLC

Practice address

750 Route 73 S Ste 205
Marlton, NJ 08053-4133

Phone

(609) 507-1939

NPI assigned

Aug 21, 2025

Last updated

Aug 21, 2026By 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

Vivian Owusu-Mensah, DNP, PMHNP, APNNPI 1225317373

Title

Nurse Practitioner

Phone

(973) 902-8484

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Vivian Owusu-Mensah, ANP-BC AND PMHNP-BC

  • Adult Health Nurse Practitioner
  • Marlton, NJ
  • NPI 1225317373
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1619855442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BERNARD DR",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S STE 205",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534133",
            "telephone_number": "609-507-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVIV TRT & WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "OWUSU-MENSAH",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "973-902-8484",
        "authorized_official_credential": "DNP, PMHNP, APN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles P Procini DDS PA
• Barbara Lotte Chase, LCSW
• Nadia Chaudhry, M.D.
• Vidhi Chauhan
• Gabriela Chaviano, MD
• Jui-Yu Belle Chen, DMD
• Yingqiao Chen, PMHNP
• Cherry Hill Evesham Pediatric and Family Medicine
• Cherry Hill Medical Associates, P.a.
• Dennis W. Chew, DDS

• Adult Health Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.