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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: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2026, Jan 15, 2026 (2 updates tracked since 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 UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1619855442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X
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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chaviv Trt & Wellness Clinic Llc 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 Chaviv Trt & Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vivian Owusu-Mensah, ANP-BC AND PMHNP-BC
Nurse Practitioner
NPI 1225317373
750 ROUTE 73 S STE 205
Marlton, NJ 08053
(609) 584-2826
✔ PECOS✔ Accepts MedicareSame address

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 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.

Is Chaviv Trt & Wellness Clinic LLC enrolled in Medicare?

Yes. Chaviv Trt & Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chaviv Trt & Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Chaviv Trt & Wellness Clinic LLC. 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 Chaviv Trt & Wellness Clinic LLC was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.