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REJUVENATIVE WELLNESS LLC
NPI 1164240156
Clinic/Center - Multi-Specialty in Fort Lee, NJ

Active since September 30, 2024
1600 PARKER AVE STE 1, FORT LEE, NJ 07024(201) 302-9993(201) 302-9994 Get Directions Write a Review

NPPES record last updated: April 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rejuvenative Wellness Llc NPPES

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

REJUVENATIVE WELLNESS LLC (NPI 1164240156), doing business as Ishitani Health Center, is a healthcare organization registered as a multi-specialty in Fort Lee, New Jersey and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Palisades Park and lists Roger Mitchell, Owner, as its authorized official.

NPPES Registry Identity

NPI1164240156
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREJUVENATIVE WELLNESS LLC
Location Address1600 PARKER AVE STE 1Fort Lee, NJ 07024-7050
Mailing Address117 Morningside Lane, Unit APalisades Park, NJ 07650 · (917) 690-4730
Phone(201) 302-9993
Fax(201) 302-9994
Organization SubpartNo
Authorized OfficialRoger MitchellOwner · (917) 690-4730
Enumeration DateSeptember 30, 2024
Last NPPES UpdateApril 26, 2025
NPPES CertifiedApril 26, 2025
✔ NPI 1164240156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedChiropractorTaxonomy 111N00000X
1600 PARKER AVE STE 1, Fort Lee, NJ 07024
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Other Names 1

Doing Business AsIshitani Health Center

Secondary Practice Location 1

Location 1117 Morningside Lane, Unit APalisades Park, NJ 07650 · Phone (917) 690-4730

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

Other Providers at the Same Location NPPES 3

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

LUSKY CORP
Chiropractor
1600 PARKER AVE STE 1
FORT LEE, NJ 07024
Bergen County (201) 302-9993
SUN H PARK DC
Chiropractor
1600 PARKER AVE STE 1
FORT LEE, NJ 07024
Bergen County (908) 578-9375
SUN PARK CHIROPRACTIC & WELLNESS LLC.
Clinic/Center
1600 PARKER AVE STE 1
FORT LEE, NJ 07024
Bergen County (908) 578-9375

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 Rejuvenative Wellness LLC's NPI number?

The NPI number for Rejuvenative Wellness LLC is 1164240156. It was assigned to this organization in the NPPES registry on September 30, 2024. The provider is doing business as Ishitani Health Center.

Where is Rejuvenative Wellness LLC located?

Rejuvenative Wellness LLC is located at 1600 Parker Ave Ste 1, Fort Lee, NJ 07024. The listed phone number is (201) 302-9993.

What is Rejuvenative Wellness 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 Rejuvenative Wellness LLC was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.