Organization Active NPI

Restwell Health NJ PC

  • Internal Medicine Physician
  • Woodmere, NY
National Provider Identifier
1780408922
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RESTWELL HEALTH NJ PC
Doing business as
Restwell Health NJ PC
Practice address
1030R Broadway
Woodmere, NY 11598-1228
Phone
(201) 370-2218
Fax
(201) 767-8498
NPI assigned
Nov 13, 2024
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Jessica Miller
Title
Revenue Cycle Manager
Phone
(201) 388-4784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1030R Broadway
Woodmere, NY 11598-1228

Mailing address

1030R Broadway
Woodmere, NY 11598-1228
Phone (201) 370-2218

Other practice location 1

100 McLellan Street
100 McClellan Street
Norwood, NJ 07648
Phone (201) 767-0100

Other names 1

  • Restwell Health NJ PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709001952 NJ Part B Supplier - Clinic/Group Practice 2163936485 Receives reassigned benefits from 3 practitioners
Practice locations: Norwood, NJ

National Provider Directory

National Provider Directory

Locations

1030 Broadway
#R
Woodmere, NY 11598
Phone (201) 370-2218

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1780408922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030R BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981228",
            "telephone_number": "201-370-2218",
            "fax_number": "201-767-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030R BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981228",
            "telephone_number": "201-370-2218",
            "fax_number": "201-767-8498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 McLellan Street",
            "address_2": "100 McClellan Street",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NJ",
            "postal_code": "07648",
            "country_code": "US",
            "telephone_number": "201-767-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTWELL HEALTH NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "201-388-4784"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restwell Health NJ PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.