Active NPI
Restoravive Mental Health & Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Fords, NJ
National Provider Identifier
1649175589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RESTORAVIVE MENTAL HEALTH & WELLNESS LLC
- Practice address
- 24 Wick Dr
Fords, NJ 08863-1407 - Phone
- (732) 433-4077
- Fax
- (888) 221-3637
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- 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
- Santria Chineme
- Title
- Apn
- Phone
- (732) 433-4077
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
24 Wick Dr
Fords, NJ 08863-1407
Mailing address
24 Wick Dr
Fords, NJ 08863-1407
Phone (732) 433-4077
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fords, NJ
- NPI 1689099418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1649175589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WICK DR",
"city": "FORDS",
"state": "NJ",
"postal_code": "088631407",
"telephone_number": "732-433-4077",
"fax_number": "888-221-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 WICK DR",
"city": "FORDS",
"state": "NJ",
"postal_code": "088631407",
"telephone_number": "732-433-4077",
"fax_number": "888-221-3637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORAVIVE MENTAL HEALTH & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "CHINEME",
"authorized_official_first_name": "SANTRIA",
"authorized_official_title_or_position": "APN",
"authorized_official_telephone_number": "732-433-4077"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fords, NJ
- Nicole Michele Pychewicz, CCC-SLP
- Priscilla Ramos
- Raritan Bay Medical Center Professional Services
- Emily Carol Rehorn, MS, LAC
- Respiratory Consultants of America LLC (Respiratory Consultants)
- Rite Aid of New Jersey Inc (Rite Aid Pharmacy 01654)
- Ingrid Giseth Rodriguez, BCBA
- Sandra I Rodriguez, LPC
- Tracey Rozenberg, LCSW
- Yosef Meir Ruttner, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.