Rejuvenative Wellness Llc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Fort Lee, New Jersey. Their current practice location is
1600 Parker Ave Ste 1, Fort Lee, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 302-9993.
Rejuvenative Wellness Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Rejuvenative Wellness Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164240156.
Healthcare Provider's Profile
| Full Name | Rejuvenative Wellness Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 1600 Parker Ave Ste 1, Fort Lee, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164240156
- Provider Enumeration Date: 09/30/2024
- Last Update Date: 04/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 7315468808
- Enrollment ID: O20250313001104
Medical Identifiers
Medical identifiers for Rejuvenative Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164240156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Rejuvenative Wellness Llc acts as a billing entity for following providers:
| Provider Name | Roger Mitchell |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1326562034
PECOS PAC ID: 6103198692
Enrollment ID: I20190722003436 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rejuvenative Wellness Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Rejuvenative Wellness Llc
117 Morningside Lane, Unit A,
Palisades Park, NJ 07650
Ph: (917) 690-4730 | Rejuvenative Wellness Llc
1600 Parker Ave Ste 1,
Fort Lee, NJ 07024-7050
Ph: (201) 302-9993 |
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