Peace and Wellness Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

44SL04570500 Issued in NJ

Legal business name

PEACE AND WELLNESS CENTER LLC

Practice address

534 Clifton Ave
Clifton, NJ 07011

Phone

(973) 777-6490

Fax

(973) 777-6491

NPI assigned

Nov 14, 2017

Last updated

Feb 21, 2018By 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

Ms. Patricia Esposito, LCSWNPI 1821503053

Title

Licensed Clinical Social Worker

Phone

(201) 704-4529

Specialties & licenses 1

Addresses

Locations

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.

• Patricia Esposito, LCSW, CDVC, CCBT

  • Clinical Social Worker
  • Clifton, NJ
  • NPI 1821503053
  Authorized official Same address or phone
• Rosa Maria Fernandez, ED. D

  • Clinical Psychologist
  • Clifton, NJ
  • NPI 1497308332
  NPD
• Azhagasundaram Ganesan, MD

  • Hematology & Oncology Physician
  • Clifton, NJ
  • NPI 1285722736
  NPD (past)

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1942713813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113230",
            "telephone_number": "973-777-6490",
            "fax_number": "973-777-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-777-6490",
            "fax_number": "973-777-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "ESPOSITO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "201-704-4529",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "44SL04570500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul C Krisa, M.D, PA
• Paul P Cusano MD PA
• Yasmine Paulino, M.A., BCBA
• Magdalena Joanna Pawlik, APN
• Jacqueline Paz, DC
• Nyota Afi Peace, M.D.
• Peak Performance PT, PA
• Pearl Korenblit MD LLC
• Pediatrics First LLC
• Maria A Pena, LSW

• Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.