Wellness Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WELLNESS PEDIATRICS, LLC

Practice address

89 Sparta Ave
Suite 207
Sparta, NJ 07871-1777

Phone

(973) 726-4455

Fax

(973) 726-8445

NPI assigned

Feb 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christian Canzoniero, M.D.

Title

Owner

Phone

(973) 726-4455

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750418372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SPARTA AVE",
            "address_2": "SUITE 207",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711777",
            "telephone_number": "973-726-4455",
            "fax_number": "973-726-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SPARTA AVE",
            "address_2": "SUITE 207",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711777",
            "telephone_number": "973-726-4455",
            "fax_number": "973-726-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANZONIERO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-726-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Ward, D.M.D.
• Emily M Wargo, LPC
• Gwendolyn Weigelt
• Karolina Welber, CRNA
• Joanne Welles, DPT
• Suzanne Wells, BSW
• Christine Welzer, LCSW
• Ian Wendel, DO
• Where You Are Counseling, LLC
• Kimberly White

• Pediatrics Physician in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.