Medical Lifestyle and Wellness Services

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

MEDICAL LIFESTYLE AND WELLNESS SERVICES

Practice address

244 Aman Ave
Clementon, NJ 08021-2502

Phone

(856) 313-6384

NPI assigned

Jun 10, 2025

Last updated

Jun 10, 2025By 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

Ihuoma Ottih, DNPNPI 1508142506

Title

Director

Phone

(856) 313-6384

Specialties & licenses 1

Addresses

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.

• Ihuoma J Ottih, APN-C

  • Adult Health Nurse Practitioner
  • Magnolia, NJ
  • NPI 1508142506
  NPD Authorized official

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1750276747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 AMAN AVE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212502",
            "telephone_number": "856-313-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 AMAN AVE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212502",
            "telephone_number": "856-313-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LIFESTYLE AND WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "OTTIH",
        "authorized_official_first_name": "IHUOMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-313-6384",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Mastromonica
• William Mattioli, RPH
• Mamie Mayhugh, LSW
• Michelle Jean McCarthy
• James A McGruder, CRC
• Emily Nicole Mertz-Tomlinson
• Jillian Minix
• Lauren Ma'Kayla Mitryk, APRN
• Taija-Rae Moore
• Ivahna La'Tese Moses

• Adult Health Nurse Practitioner in Clementon, NJ
• Providers in Clementon, 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 Jun 10, 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.