| Nj Wellness Group | |
|
41 Reckless Pl Red Bank NJ 07701-1703 | |
| (631) 335-8401 | |
| Not Available |
| Full Name | Nj Wellness Group |
|---|---|
| Speciality | Social Worker |
| Location | 41 Reckless Pl, Red Bank, New Jersey |
| Authorized Official Name and Position | Steven Griffith (OWNER) |
| Authorized Official Contact | 6313358401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Wellness Group 41 Reckless Pl Red Bank NJ 07701-1703 Ph: (631) 335-8401 | Nj Wellness Group 41 Reckless Pl Red Bank NJ 07701-1703 Ph: (631) 335-8401 |
| NPI Number | 1184230138 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 4486073681 |
|---|---|
| Medicare Enrollment ID | O20201007000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184230138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven P Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811337710 PECOS PAC ID: 8729407929 Enrollment ID: I20201007002869 |
| Provider Name | Stephanie Petrucha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497293492 PECOS PAC ID: 0547633521 Enrollment ID: I20230223000356 |
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