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CHAVIV TRT & WELLNESS CLINIC LLC
NPI 1619855442
Nurse Practitioner - Adult Health in Marlton, NJ

Active since August 21, 2025
750 ROUTE 73 S STE 205, MARLTON, NJ 08053(609) 507-1939 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chaviv Trt & Wellness Clinic Llc NPPES

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

CHAVIV TRT & WELLNESS CLINIC LLC (NPI 1619855442) is a healthcare organization registered as an adult health in Marlton, New Jersey and active in the NPI registry since August 2025. The organization lists Vivian Owusu-mensah, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1619855442
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameCHAVIV TRT & WELLNESS CLINIC LLC
Location Address750 ROUTE 73 S STE 205Marlton, NJ 08053-4133
Mailing Address44 Bernard DrEwing, NJ 08628-2301
Phone(609) 507-1939
Organization SubpartNo
Authorized OfficialVivian Owusu-mensahNurse Practitioner · (973) 902-8484
Enumeration DateAugust 21, 2025
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1619855442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
750 ROUTE 73 S STE 205, Marlton, NJ 08053
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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

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

VIVIAN OWUSU-MENSAH ANP-BC AND PMHNP-BC
Nurse Practitioner (Adult Health)
750 ROUTE 73 S STE 205
MARLTON, NJ 08053
Burlington County (609) 584-2826

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 Chaviv Trt & Wellness Clinic LLC's NPI number?

The NPI number for Chaviv Trt & Wellness Clinic LLC is 1619855442. It was assigned to this organization in the NPPES registry on August 21, 2025.

Where is Chaviv Trt & Wellness Clinic LLC located?

Chaviv Trt & Wellness Clinic LLC is located at 750 Route 73 S Ste 205, Marlton, NJ 08053. The listed phone number is (609) 507-1939.

What is Chaviv Trt & Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Chaviv Trt & Wellness Clinic LLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.