Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GLOW BAR A BEAUTY AND WELLNESS MEDSPA LLC
NPI 1619876703
Nurse Practitioner - Gerontology in Mount Holly, NJ

Q: What is Glow Bar A Beauty And Wellness Medspa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since November 04, 2026

516 HIGH ST STE 11, MOUNT HOLLY, NJ 08060(856) 880-8485 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Glow Bar A Beauty And Wellness Medspa Llc NPPES

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

GLOW BAR A BEAUTY AND WELLNESS MEDSPA LLC (NPI 1619876703) is a healthcare organization registered as a gerontology in Mount Holly, New Jersey and active in the NPI registry since November 2026. The organization lists Masimba Mutema, Owner, Np, as its authorized official.

NPPES Registry Identity

NPI1619876703

Entity TypeOrganization

Primary Taxonomy363LG0600X

Legal Business NameGLOW BAR A BEAUTY AND WELLNESS MEDSPA LLC

Location Address516 HIGH ST STE 11Mount Holly, NJ 08060-1026

Mailing Address605 Wharton RdMount Laurel, NJ 08054-5265

Phone(856) 880-8485

Organization SubpartNo

Authorized OfficialMasimba MutemaOwner, Np · (856) 880-8485

Enumeration DateNovember 4, 2026

NPPES CertifiedNovember 4, 2026

✔ NPI 1619876703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

516 HIGH ST STE 11, Mount Holly, NJ 08060

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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

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 Glow Bar A Beauty And Wellness Medspa LLC's NPI number?

The NPI number for Glow Bar A Beauty And Wellness Medspa LLC is 1619876703. It was assigned to this organization in the NPPES registry on November 4, 2026.

Where is Glow Bar A Beauty And Wellness Medspa LLC located?

Glow Bar A Beauty And Wellness Medspa LLC is located at 516 High St Ste 11, Mount Holly, NJ 08060. The listed phone number is (856) 880-8485.

What is Glow Bar A Beauty And Wellness Medspa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Glow Bar A Beauty And Wellness Medspa LLC was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.