INTEGRATIVE WELLNESS & COSMETICS, INC (NPI# 1821505462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821505462 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE WELLNESS & COSMETICS, INC |
| Other Organization Name | STUDIO 17 COSMETICS & WELLNESS |
| Practice Address |
601 9th St Hoboken NJ 07030-6428 |
| Mailing Address |
65 Windsor Dr Pine Brook NJ 07058-9757 |
| Practice Telephone | 2013014344 |
| Mailing Telephone | 9739083368 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | DR. BRIZA WALTER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2013014344 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
25MA09325400 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICAL LICENSE | 25MA09325400 | 01 |
| Other Name | Type Code |
|---|---|
| Studio 17 Cosmetics & Wellness | Doing Business As Name - Organization |
| Street Address |
601 9TH ST |
| City | HOBOKEN |
| State | NJ |
| Zip Code | 07030-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359071 | Silvia Ramirez Quiroz | Social Worker | 63a Eighth Street, Ground Floor, Hoboken, NJ 07030 | 2020-09-01 |
| 1629600176 | Robin Shamburg | Counselor | 5 Church Towers, Apt 8a, Hoboken, NJ 07030 | 2020-02-12 |
| 1083254809 | Rohan Chabra | Pharmacist | 101-105 Washington Street, Hoboken, NJ 07030 | 2020-01-09 |
| 1659921047 | Ashley Papa | Social Worker | 63rd 8th Street, Hoboken, NJ 07030 | 2019-09-17 |
| 1538621305 | Prohealth Riverside Dental, LLC | Dentist | 1425 Bloomfield Street, Hoboken, NJ 07030 | 2019-04-02 |
| 1639634470 | Progressive Option Support Services | Behavioral Analyst | 221 River Street 9th Floor, Hoboken, NJ 07030 | 2019-02-06 |
| 1164995189 | Luisa Fernanda Alzate Cobo | Occupational Therapy Assistant | 15 Church Towers, 5g, Hoboken, NJ 07030 | 2019-01-03 |
| 1588147821 | Melissa Ann Ronga | Social Worker | Mary Eliza Mahoney Health Center-394 University Ave., Newark, NJ 07030 | 2018-09-12 |
| 1578040952 | Kerry R Pitter | Psychologist | 221 River Street, 9th Floor, Hoboken, NJ 07030 | 2018-07-27 |
| 1265949416 | Ariel Mayer | Acupuncturist | 51 Newark Street, 203, Hoboken, NJ 07030 | 2018-01-09 |
| Find all providers in zip 07030 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831614858 | Hudson Pediatric Cardiology Center Inc. | Clinic/Center | 33-41 Newark St Ste 4c, Hoboken, NJ 07030-5620 | 2017-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378467 | Nickhil Gupta Do PC | Clinic/Center | 37 W Century Rd Ste 106, Paramus, NJ 07652-1466 | 2020-05-25 |
| 1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
| 1578129490 | Beaute Medispa, LLC | Clinic/Center | 195 Route 9 Ste 101, Manalapan, NJ 07726-8294 | 2019-05-16 |
| 1437627023 | Point Pediatrics | Clinic/Center | 800 Route 88 Ste 3, Point Pleasant Boro, NJ 08742-4085 | 2018-11-13 |
| 1770067126 | Skin Cancer and Cosmetic Surgery Center of New Jersey, LLC | Clinic/Center | 10 Parsonage Rd Ste 312, Edison, NJ 08837-2429 | 2018-09-21 |
| 1780165100 | Renew Med Spa and Clinic LLC | Clinic/Center | 601 Hamburg Tpke Ste 101, Wayne, NJ 07470-2049 | 2018-08-23 |
| 1497243232 | Tristate Multispecialty Medical Services PC | Clinic/Center | 126 State St Fl 1, Hackensack, NJ 07601-5448 | 2018-04-26 |
| 1285136226 | Robinson-gallaro Gi Health & Solutions | Clinic/Center | 717 N Beers St Ste 2c, Holmdel, NJ 07733-1525 | 2018-03-06 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1639628316 | Markbreiter Orthopedics PC | Clinic/Center | 145 Wyckoff Rd, Suite 303, Eatontown, NJ 07724-1878 | 2016-09-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.