DIABETES EDUCATION AND WELLNESS
NPI 1588053706
Clinic/Center - Health Service in Eatontown, NJ
About Diabetes Education And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIABETES EDUCATION AND WELLNESS (NPI 1588053706) is a healthcare organization registered as a health service in Eatontown, New Jersey and active in the NPI registry since January 2015. The organization lists Jenalyn Canullas, Program Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 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)
Diabetes Education And 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 Diabetes Education And 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 Diabetes Education And Wellness's NPI number?
The NPI number for Diabetes Education And Wellness is 1588053706. It was assigned to this organization in the NPPES registry on January 12, 2015.
Where is Diabetes Education And Wellness located?
Diabetes Education And Wellness is located at 1 Main St Suite 226, Eatontown, NJ 07724. The listed phone number is (732) 500-1477.
What is Diabetes Education And Wellness's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Diabetes Education And Wellness enrolled in Medicare?
Yes. Diabetes Education And Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Diabetes Education And Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Diabetes Education And Wellness. 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 Diabetes Education And Wellness was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Diabetes Education And Wellness · NPI 1588053706
Health Service organization in Eatontown, New Jersey. Organization record, active in the CMS NPPES registry since January 12, 2015.
## Identity
- **NPI:** 1588053706 (Entity type: Organization)
- **Enumerated:** January 12, 2015
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Jenalyn Canullas, PROGRAM COORDINATOR
## Practice location
- **Address:** 1 MAIN ST, SUITE 226, Eatontown, NJ 07724-3450
- **Phone:** (732) 500-1477
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1588053706) · Data from the CMS NPPES public registry.