Organization Active NPI

K Space Wellness LLC

  • General Practice Physician
  • Skillman, NJ
National Provider Identifier
1629867569
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
K SPACE WELLNESS LLC
Practice address
186 Tamarack Cir
Skillman, NJ 08558-2021
Phone
(609) 759-1195
NPI assigned
May 6, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Zhanna Stein, APN, CRNA
Title
Partner
Phone
(267) 210-3158

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

186 Tamarack Cir
Skillman, NJ 08558
Phone (609) 759-1195

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

186 Tamarack Cir
Skillman, NJ 08558-2021

Mailing address

186 Tamarack Cir
Skillman, NJ 08558-2021

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2025.

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1629867569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582021",
            "telephone_number": "609-759-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K SPACE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "267-210-3158",
        "authorized_official_credential": "APN, CRNA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.