Physique Labs

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

PHYSIQUE LABS

Practice address

417 Stokes Rd Ste C
Medford, NJ 08055-8408

Phone

(609) 654-5679

NPI assigned

Mar 19, 2026

Organization subpart

No

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

Authorized official

Name

Adam Nissensohn

Title

Owner

Phone

(609) 654-5679

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1922956382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STOKES RD STE C",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STOKES RD STE C",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558408",
            "telephone_number": "609-654-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIQUE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "NISSENSOHN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-654-5679"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Edith Perkowski, MPT
• Ashley Perry, LPC
• Peter R. Duca, Jr., DMD PC
• Sara C Phelps, PHARMD
• Jimmy Phuong
• Michael J Piarulli Jr., MD
• Pineland Plaza Family Practice, LLC
• Pinelands ABA Connection LLC.
• Pinelands Family Dental Care
• Pinnacle Behavioral Health Services

• Community Health Clinic/Center in Medford, NJ
• Providers in Medford, NJ by specialty
• Community Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.