DIABETES EDUCATION AND WELLNESS
NPI 1588053706
Clinic/Center - Health Service in Eatontown, NJ

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

Active since January 12, 2015

1 MAIN ST, SUITE 226, EATONTOWN, NJ 07724(732) 500-1477 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

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

NPI1588053706

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameDIABETES EDUCATION AND WELLNESS

Location Address1 MAIN ST, SUITE 226Eatontown, NJ 07724-3450

Mailing Address352 Broad StEatontown, NJ 07724-1616 · (732) 500-1477

Phone(732) 500-1477

Organization SubpartNo

Authorized OfficialJenalyn CanullasProgram Coordinator · (732) 500-1477

Enumeration DateJanuary 12, 2015

Last NPPES UpdateFebruary 25, 2015

✔ NPI 1588053706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

Also ListedNurse PractitionerTaxonomy 363L00000X

1 MAIN ST, Eatontown, NJ 07724

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP