Progressive Wellness & Therapy Group Of New Jersey LLC
Counselor, Professional in Rochelle Park, NJ. Organization (NPI-2).
NPI number1811602014
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1811602014
- Entity type
- Organization (NPI-2)
- Legal business name
- Progressive Wellness & Therapy Group Of New Jersey LLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2023
- Certification date
- Jan 23, 2023
- Last updated
- Jan 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
350 W Passaic StRochelle Park, NJ 07662-3073
Phone 201-822-1232
Mailing address
64 Midland Ave Unit 131Kearny, NJ 07032-6806
Authorized official
Thabatha Borer
Owner/President
2018221232
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