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ADVANCED WELLNESS AND THERAPY CENTER LLC
NPI 1619129202
Nurse Practitioner - Family in Bayonne, NJ

Active since October 15, 2008
777 AVENUE C, BAYONNE, NJ 07002(201) 436-0911 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2025, Nov 10, 2021, Aug 26, 2021 and 1 more (4 updates tracked since 2018).

About Advanced Wellness And Therapy Center Llc NPPES

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

ADVANCED WELLNESS AND THERAPY CENTER LLC (NPI 1619129202) is a healthcare organization registered as a family in Bayonne, New Jersey and active in the NPI registry since October 2008. The organization lists Jonathan T Mingoia, Owner, as its authorized official.

NPPES Registry Identity

NPI1619129202
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED WELLNESS AND THERAPY CENTER LLC
Location Address777 AVENUE CBayonne, NJ 07002
Mailing Address777 Avenue CBayonne, NJ 07002-2844 · (201) 436-0911
Phone(201) 436-0911
Organization SubpartNo
Authorized OfficialJonathan T MingoiaOwner · (201) 436-0911
Enumeration DateOctober 15, 2008
Last NPPES UpdateJune 23, 20254 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1619129202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
777 AVENUE C, Bayonne, NJ 07002
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERSEY PREMIER PAIN
Chiropractor
777 AVENUE C
BAYONNE, NJ 07002
Hudson County (551) 697-4134
KITAK RYU
Acupuncturist
777 AVENUE C
BAYONNE, NJ 07002
Hudson County (201) 436-0911
SYNERGY MEDICAL GROUP, LLC
Pain Medicine (Interventional Pain Medicine)
777 AVENUE C
BAYONNE, NJ 07002
Hudson County (201) 436-0911
DR. JONATHAN T MINGOIA FNP-C, D.C.
Nurse Practitioner (Family)
777 AVENUE C
BAYONNE, NJ 07002
Hudson County (201) 436-0911

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 Advanced Wellness And Therapy Center LLC's NPI number?

The NPI number for Advanced Wellness And Therapy Center LLC is 1619129202. It was assigned to this organization in the NPPES registry on October 15, 2008.

Where is Advanced Wellness And Therapy Center LLC located?

Advanced Wellness And Therapy Center LLC is located at 777 Avenue C, Bayonne, NJ 07002. The listed phone number is (201) 436-0911.

What is Advanced Wellness And Therapy Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Advanced Wellness And Therapy Center LLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.