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KETAVITA WELLNESS CLINIC PC
NPI 1649162439
Clinic/Center in Wyckoff, NJ

Active since July 16, 2025
365 FRANKLIN AVE, WYCKOFF, NJ 07481(925) 565-8498 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ketavita Wellness Clinic Pc NPPES

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

KETAVITA WELLNESS CLINIC PC (NPI 1649162439) is a healthcare organization registered as a clinic/center in Wyckoff, New Jersey and active in the NPI registry since July 2025. The organization lists Mehdi Pouria, Owner, as its authorized official.

NPPES Registry Identity

NPI1649162439
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKETAVITA WELLNESS CLINIC PC
Location Address365 FRANKLIN AVEWyckoff, NJ 07481-1971
Mailing Address46 W Wildwood RdSaddle River, NJ 07458-2512
Phone(925) 565-8498
Organization SubpartNo
Authorized OfficialMehdi PouriaOwner · (925) 565-8498
Enumeration DateJuly 16, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1649162439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
365 FRANKLIN AVE, Wyckoff, NJ 07481
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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.

BIANCA-ALEXIS ILARRAZA KLEPPER
Chiropractor
365 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 846-7770
ELITE WELLNESS CLINIC
Clinic/Center
365 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (925) 565-8498
DR.BIANCA-ALEXIS ILARRAZA D.C LLC
Chiropractor
365 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 846-7770
KAREN GAIL PETERSON CAVIASCO M.S.W., L.C.S.W.
Social Worker (Clinical)
365 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (973) 951-9264

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 Ketavita Wellness Clinic PC's NPI number?

The NPI number for Ketavita Wellness Clinic PC is 1649162439. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Ketavita Wellness Clinic PC located?

Ketavita Wellness Clinic PC is located at 365 Franklin Ave, Wyckoff, NJ 07481. The listed phone number is (925) 565-8498.

What is Ketavita Wellness Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ketavita Wellness Clinic PC was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.