ADVANCED WELLNESS AND THERAPY CENTER LLC
NPI 1619129202
Nurse Practitioner - Family in Bayonne, NJ
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
Specialties & Licenses 4
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)
Advanced Wellness And Therapy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Wellness And Therapy Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 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.
Is Advanced Wellness And Therapy Center LLC enrolled in Medicare?
Yes. Advanced Wellness And Therapy Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Wellness And Therapy Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Advanced Wellness And Therapy Center LLC, in Chiropractic and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 16 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.
# Advanced Wellness And Therapy Center Llc · NPI 1619129202
Family organization in Bayonne, New Jersey. Organization record, active in the CMS NPPES registry since October 15, 2008.
## Identity
- **NPI:** 1619129202 (Entity type: Organization)
- **Enumerated:** October 15, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jonathan Mingoia, OWNER
## Practice location
- **Address:** 777 AVENUE C, Bayonne, NJ 07002
- **Phone:** (201) 436-0911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (2), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619129202) · Data from the CMS NPPES public registry.