Advanced Wellness Associates

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ADVANCED WELLNESS ASSOCIATES

Practice address

115 Dutch Lane Rd
Freehold, NJ 07728-5500

Phone

(732) 431-7420

NPI assigned

Sep 17, 2021

Last updated

Sep 17, 2021By 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

Blimi Aviv

Title

Director of Ar

Phone

(973) 285-2893

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1710657010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E COUNTY LINE RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DUTCH LANE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285500",
            "telephone_number": "732-431-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "AVIV",
        "authorized_official_first_name": "BLIMI",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "973-285-2893"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Dorothy Adkins-Hutchison, PSY.D.
• Advanced Orthopedic and Sports Medicine Institute PC
• Advanced Physical Medicine, LLC
• Advanced Psychological Services,LLC
• Advanced Surgical Associates of Central Jersey, LLC
• Advocare , LLC (Advocare Heal and Care Pediatrics)
• Advocare, LLC (Advocare Pediatric Health)
• Aew Brookside, LLC (The BrookSide)
• Affinity Home Health Resources, LLC
• Sumitra Agarwal, M.D.

• Adult Mental Health Clinic/Center in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.