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REGINA HEALTH LLC
NPI 1417652553
Nurse Practitioner - Primary Care in New Jersey, NJ

Active since March 30, 2023CLIA 31D2280651 · Waiver
185 ENGLE STREET, ENGLEWOOD. NJ 07631, 2ND FLOOR, NEW JERSEY, NJ 07631(347) 416-2405 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Regina Health Llc NPPES

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

REGINA HEALTH LLC (NPI 1417652553), doing business as Regina Medical Services, is a healthcare organization registered as a primary care in New Jersey, New Jersey and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Regina Askia Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417652553
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameREGINA HEALTH LLC
Location Address185 ENGLE STREET, ENGLEWOOD. NJ 07631, 2ND FLOORNew Jersey, NJ 07631-2446
Mailing Address185 Engle Street, Englewood. Nj 07631, 2nd FloorNew Jersey, NJ 07631-2446 · (347) 416-2405
Phone(347) 416-2405
Organization SubpartNo
Authorized OfficialRegina Askia WilliamsCeo · (347) 416-2405
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 12, 2023
✔ NPI 1417652553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
185 ENGLE STREET, ENGLEWOOD. NJ 07631, New Jersey, NJ 07631
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Other Names 1

Doing Business AsRegina Medical Services

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2280651

Regina Health Care LLC · Englewood, NJ
Active · expires Apr 23, 2027
CLIA Number31D2280651
Laboratory TypePractitioner Other
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorRegina A. Williams
Laboratory Phone(347) 416-2405
Laboratory LocationRegina Health Care LLC185 Engle Street, Englewood, NJ 07631
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is REGINA HEALTH LLC's NPI number?

The NPI number assigned to this healthcare provider is 1417652553, enumerated as an "organization" on March 30, 2023.

Where is the provider located?

The provider is located at 185 ENGLE STREET, ENGLEWOOD. NJ 07631 2ND FLOOR NEW JERSEY, NJ 07631 and the phone number is (347) 416-2405.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.