Ernit Lifestyle LLC
Organization Active NPI Primary Care Clinic/Center · Wharton, NJ
NPI 1740069269 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1740069269
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- ERNIT LIFESTYLE LLC
- Practice address
- 544 Mount Hope Rd
Wharton, NJ 07885-2816 - Phone
- (973) 532-2095
- NPI assigned
- Sep 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Jesse Abend, DO
- Title
- Owner
- Phone
- (201) 264-8701
Practitioners 7
-
Jesse Abend, DO
-
Jordan Abend, DO
-
Tara Lynne Parker, R.N,B.S.N, APN, NP-C
-
Michelle Lablue, RDN
-
Holly M Gonzalez, DNP, APN, FNP-C
-
Samantha Abend, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231208000139 | NJ | Part B Supplier - Clinic/Group Practice | 1153770789 |
Receives reassigned benefits from 5 practitioners Practice locations: Rockaway, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
544 Mount Hope Rd
Wharton, NJ 07885-2816
Mailing address
26 Adams Dr
Denville, NJ 07834-2402
Phone (201) 264-8701
Other names
- AbendHealth
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All providers in Wharton, NJ · Primary Care Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.