New Life Health and Wellness Center LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN05973400 Issued in NJ

Legal business name

NEW LIFE HEALTH AND WELLNESS CENTER LLC

Practice address

12 Prospect St
Bloomfield, NJ 07003-3211

Phone

(973) 429-4850

Fax

(973) 429-4811

NPI assigned

Aug 23, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Joanne Webb-Williams, APN-C

Title

Advance Practice Nurse

Phone

(973) 429-4850

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1851607329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PROSPECT ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033211",
            "telephone_number": "973-429-4850",
            "fax_number": "973-429-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PROSPECT ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033211",
            "telephone_number": "973-429-4850",
            "fax_number": "973-429-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "WEBB-WILLIAMS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADVANCE PRACTICE NURSE",
        "authorized_official_telephone_number": "973-429-4850",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN05973400",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN06957700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250279",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Jersey CVS Pharmacy LLC
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• New Jersey Urology LLC
• New Life Counseling and Mental Health Services
• New Life Counseling and Mental Health Services, LLC
• Next Best Level
• Sandrine Nicholson-Bernard
• Catherine Spencer Nicklaus
• NJ Endodontics Group Bloomfield LLC
• NJ Physical Therapy & Rehab Center Inc

• Adult Health Nurse Practitioner in Bloomfield, NJ
• Providers in Bloomfield, 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 Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.