REJUVENATION CENTER FOR MIND AND BODY
NPI 1013475953
Internal Medicine - Addiction Medicine in Totowa, NJ

Active since March 11, 2019CLIA 31D2165596 · Waiver
555 PREAKNESS AVE, TOTOWA, NJ 07502(973) 444-4558(973) 444-7466 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rejuvenation Center For Mind And Body NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REJUVENATION CENTER FOR MIND AND BODY (NPI 1013475953) is a healthcare organization registered as an addiction medicine in Totowa, New Jersey and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Eugene Festa, Owner, as its authorized official.

NPPES Registry Identity

NPI1013475953
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameREJUVENATION CENTER FOR MIND AND BODY
Location Address555 PREAKNESS AVETotowa, NJ 07502-1012
Mailing Address555 Preakness AveTotowa, NJ 07502-1012 · (973) 444-4558 · Fax (973) 444-7466
Fax(973) 444-7466
Organization SubpartNo
Authorized OfficialEugene FestaOwner · (973) 444-4558
Enumeration DateMarch 11, 2019
✔ NPI 1013475953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
555 PREAKNESS AVE, Totowa, NJ 07502

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rejuvenation Center For Mind And Body is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rejuvenation Center For Mind And Body, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1629395629
1777 HAMBURG TPKE STE 304
Wayne, NJ 07470
(973) 444-4558
✔ PECOS✔ Accepts Medicare4.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2165596

Rejuvenation Center For Mind & Body · Wayne, NJ
Active · expires Apr 30, 2027
CLIA Number31D2165596
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorEugene Festa
Laboratory Phone(973) 444-4558
Laboratory LocationRejuvenation Center For Mind & Body1777 Hamburg Turnpike Suite 304, Wayne, NJ 07470
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rejuvenation Center For Mind And Body's NPI number?

The NPI number for Rejuvenation Center For Mind And Body is 1013475953. It was assigned to this organization in the NPPES registry on March 11, 2019.

Where is Rejuvenation Center For Mind And Body located?

Rejuvenation Center For Mind And Body is located at 555 Preakness Ave, Totowa, NJ 07502. The listed phone number is (973) 444-4558.

What is Rejuvenation Center For Mind And Body's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Rejuvenation Center For Mind And Body enrolled in Medicare?

Yes. Rejuvenation Center For Mind And Body is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rejuvenation Center For Mind And Body?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Rejuvenation Center For Mind And Body. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rejuvenation Center For Mind And Body hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2165596) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rejuvenation Center For Mind And Body was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.