Premiere Wellness Care

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

PREMIERE WELLNESS CARE

Doing business as

IV Nutrition

Practice address

714 W White Horse Pike Ste B
Egg Harbor City, NJ 08215-3838

Phone

(609) 732-0101

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Nancy Fried, DNP

Title

Managing Member

Phone

(609) 732-0101

Specialties & licenses 5

Addresses

Other names 1

• IV Nutrition Doing business as

Locations

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1972220689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W WHITE HORSE PIKE STE C",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153838",
            "telephone_number": "609-732-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W WHITE HORSE PIKE STE B",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153838",
            "telephone_number": "609-732-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 White Rd",
            "address_purpose": "LOCATION",
            "city": "Little Silver",
            "state": "NJ",
            "postal_code": "077391150",
            "country_code": "US",
            "telephone_number": "609-732-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077268742",
            "country_code": "US",
            "telephone_number": "609-732-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIERE WELLNESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-732-0101",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IV Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory R Novotny, DO
• Oaks Integrated Care
• John Pabst, PTA
• Pantano & Rossi Chiropractic Center II, PA (Egg Harbor Chiropractic Center)
• Carlos G Penaloza Aranibar, MD
• Primo Healthcare Services, LLC.
• Proactive Health & Wellness (TelewellnessND)
• Proactive Health & Wellness
• Progressive Living Units Systems, Inc
• Leah J Reedy, M.S., CCC-SLP

• Primary Care Nurse Practitioner in Egg Harbor City, NJ
• Providers in Egg Harbor City, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.