1. Home
  2. Directory
  3. New Jersey
  4. Pompton Lakes
  5. Internal Medicine
  6. NPI Profile

ACTIVELIFE REGENERATIVE THERAPIES
NPI 1225708886
Internal Medicine in Pompton Lakes, NJ

Active since September 15, 2021
413 WANAQUE AVE, POMPTON LAKES, NJ 07442(973) 997-0542(973) 831-6763 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2022, Oct 12, 2021, Sep 15, 2021 (3 updates tracked since 2021).

About Activelife Regenerative Therapies NPPES

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

ACTIVELIFE REGENERATIVE THERAPIES (NPI 1225708886) is a healthcare organization registered as an internal medicine in Pompton Lakes, New Jersey and active in the NPI registry since September 2021. The organization lists Kenneth Wolosz, Owner, as its authorized official.

NPPES Registry Identity

NPI1225708886
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameACTIVELIFE REGENERATIVE THERAPIES
Location Address413 WANAQUE AVEPompton Lakes, NJ 07442-1844
Mailing Address413 Wanaque AvePompton Lakes, NJ 07442-1844 · (973) 997-0542 · Fax (973) 831-6763
Phone(973) 997-0542
Fax(973) 831-6763
Organization SubpartNo
Authorized OfficialKenneth WoloszOwner · (973) 997-0542
Enumeration DateSeptember 15, 2021
Last NPPES UpdateJanuary 5, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1225708886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
413 WANAQUE AVE, Pompton Lakes, NJ 07442
Open in Google Maps ↗

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 2

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

KENNETH JOHN WOLOSZ DC
Chiropractor
413 WANAQUE AVE
POMPTON LAKES, NJ 07442
Passaic County (973) 831-7703
DEBRA EISENSTEIN-VERRET
Social Worker (Clinical)
413 WANAQUE AVE, SUITE 5
POMPTON LAKES, NJ 07442
Passaic County (973) 487-8244

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 Activelife Regenerative Therapies's NPI number?

The NPI number for Activelife Regenerative Therapies is 1225708886. It was assigned to this organization in the NPPES registry on September 15, 2021.

Where is Activelife Regenerative Therapies located?

Activelife Regenerative Therapies is located at 413 Wanaque Ave, Pompton Lakes, NJ 07442. The listed phone number is (973) 997-0542.

What is Activelife Regenerative Therapies's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Activelife Regenerative Therapies was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.