PASSAIC MEDICAL & WELLNESS
NPI 1366995896
Clinic/Center - Primary Care in Passaic, NJ
About Passaic Medical & Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PASSAIC MEDICAL & WELLNESS (NPI 1366995896) is a healthcare organization registered as a primary care in Passaic, New Jersey and active in the NPI registry since August 2016. The organization lists Mark Lee, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Passaic Medical & Wellness 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 Passaic Medical & Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Passaic Medical Walk-In And Wellness Center LLC's NPI number?
The NPI number for Passaic Medical Walk-In And Wellness Center LLC is 1366995896. It was assigned to this organization in the NPPES registry on August 2, 2016. The provider is doing business as Passaic Medical & Wellness.
Where is Passaic Medical Walk-In And Wellness Center LLC located?
Passaic Medical Walk-In And Wellness Center LLC is located at 916 Main Ave, Passaic, NJ 07055. The listed phone number is (732) 429-7165.
What is Passaic Medical Walk-In And Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Passaic Medical Walk-In And Wellness Center LLC enrolled in Medicare?
Yes. Passaic Medical Walk-In And Wellness Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Passaic Medical Walk-In And Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Passaic Medical Walk-In And Wellness Center 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 Passaic Medical Walk-In And Wellness Center LLC was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Passaic Medical & Wellness · NPI 1366995896
Primary Care organization in Passaic, New Jersey. Organization record, active in the CMS NPPES registry since August 2, 2016.
## Identity
- **NPI:** 1366995896 (Entity type: Organization)
- **Enumerated:** August 2, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Passaic Medical Walk-In And Wellness Center Llc
- **Organization subpart:** No
- **Authorized official:** Mark Lee, OFFICE MANAGER
## Practice location
- **Address:** 916 MAIN AVE, Passaic, NJ 07055-8545
- **Phone:** (732) 429-7165
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1366995896) · Data from the CMS NPPES public registry.