1. Home
  2. Directory
  3. New Jersey
  4. East Brunswick
  5. Family Medicine
  6. NPI Profile

NISSI IV HYDRATION THERAPY AND WELLNESS CLINIC LLC
NPI 1245005669
Family Medicine in East Brunswick, NJ

Active since November 15, 2023
15 W PROSPECT ST STE 3, EAST BRUNSWICK, NJ 08816(732) 301-4465(732) 301-4492 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2026, Feb 26, 2025, Nov 15, 2023 (3 updates tracked since 2023).

About Nissi Iv Hydration Therapy And Wellness Clinic Llc NPPES

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

NISSI IV HYDRATION THERAPY AND WELLNESS CLINIC LLC (NPI 1245005669), doing business as Nissi Wellness Clinic, is a healthcare organization registered as a family medicine in East Brunswick, New Jersey and active in the NPI registry since November 2023. The organization lists Amanda Adiyia, Owner,administrator, as its authorized official.

NPPES Registry Identity

NPI1245005669
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNISSI IV HYDRATION THERAPY AND WELLNESS CLINIC LLC
Location Address15 W PROSPECT ST STE 3East Brunswick, NJ 08816-2161
Mailing Address15 W Prospect Street Suite 3East Brunswick, NJ 08816-8578 · (732) 301-4465 · Fax (732) 301-4492
Phone(732) 301-4465
Fax(732) 301-4492
Organization SubpartNo
Authorized OfficialAmanda AdiyiaOwner,administrator · (732) 301-4465
Enumeration DateNovember 15, 2023
Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1245005669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
15 W PROSPECT ST STE 3, East Brunswick, NJ 08816
Open in Google Maps ↗

Other Names 1

Doing Business AsNissi Wellness Clinic

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)

Nissi Iv Hydration Therapy And Wellness Clinic Llc 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 Nissi IV Hydration Therapy And Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Adiyia, APN
Nurse Practitioner
NPI 1295339398
15 W PROSPECT STREET SUITE 3
East Brunswick, NJ 08816
(732) 301-4465
✔ PECOS✔ Accepts MedicareSame address

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

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 Nissi IV Hydration Therapy And Wellness Clinic LLC's NPI number?

The NPI number for Nissi IV Hydration Therapy And Wellness Clinic LLC is 1245005669. It was assigned to this organization in the NPPES registry on November 15, 2023. The provider is doing business as Nissi Wellness Clinic.

Where is Nissi IV Hydration Therapy And Wellness Clinic LLC located?

Nissi IV Hydration Therapy And Wellness Clinic LLC is located at 15 W Prospect St Ste 3, East Brunswick, NJ 08816. The listed phone number is (732) 301-4465.

What is Nissi IV Hydration Therapy And Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nissi IV Hydration Therapy And Wellness Clinic LLC enrolled in Medicare?

Yes. Nissi IV Hydration Therapy And Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nissi IV Hydration Therapy And Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nissi IV Hydration Therapy And Wellness Clinic LLC. 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.

When was this NPI record last updated?

The NPPES record for Nissi IV Hydration Therapy And Wellness Clinic LLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.