ORIGIN LLC
NPI 1124691647
Clinic/Center - Multi-Specialty in Willingboro, NJ

Q: What is Origin LLC's NPI number?

The NPI number for Origin LLC is 1124691647. It was assigned to this organization in the NPPES registry on July 22, 2021.

Q: What is Origin LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Origin LLC was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 22, 2021

14 GALLAWAY LN, WILLINGBORO, NJ 08046(908) 494-5150 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Origin Llc NPPES

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

ORIGIN LLC (NPI 1124691647) is a healthcare organization registered as a multi-specialty in Willingboro, New Jersey and active in the NPI registry since July 2021. The organization lists Leez-betina Petit, Founder, as its authorized official.

NPPES Registry Identity

NPI1124691647

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameORIGIN LLC

Location Address14 GALLAWAY LNWillingboro, NJ 08046-3226

Mailing Address14 Gallaway LnWillingboro, NJ 08046-3226

Phone(908) 494-5150

Organization SubpartNo

Authorized OfficialLeez-betina PetitFounder · (908) 494-5150

Enumeration DateJuly 22, 2021

NPPES CertifiedJuly 22, 2021

✔ NPI 1124691647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

14 GALLAWAY LN, Willingboro, NJ 08046

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEEZ-BETINA PETIT

Chiropractor

14 GALLAWAY LN
WILLINGBORO, NJ 08046

Burlington County (908) 494-5150

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 Origin LLC's NPI number?

The NPI number for Origin LLC is 1124691647. It was assigned to this organization in the NPPES registry on July 22, 2021.

Where is Origin LLC located?

Origin LLC is located at 14 Gallaway Ln, Willingboro, NJ 08046. The listed phone number is (908) 494-5150.

What is Origin LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Origin LLC was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.