MEDWELL LLC
NPI 1659384360
General Practice in Midland Park, NJ

Active since August 14, 2006CLIA 31D2140939 · Waiver
33 CENTRAL AVE, MIDLAND PARK, NJ 07432(201) 689-0800(201) 689-0871 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medwell Llc NPPES

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

MEDWELL LLC (NPI 1659384360) is a healthcare organization registered as a general practice in Midland Park, New Jersey and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Manouchehr T Shahab, Owner, as its authorized official.

NPPES Registry Identity

NPI1659384360
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDWELL LLC
Location Address33 CENTRAL AVEMidland Park, NJ 07432
Mailing Address33 Central AveMidland Park, NJ 07432 · (201) 689-0800 · Fax (201) 689-0871
Fax(201) 689-0871
Organization SubpartNo
Authorized OfficialManouchehr T ShahabOwner · (201) 819-1081
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 12, 2008
NPI 1659384360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
33 CENTRAL AVE, Midland Park, NJ 07432

Other Identifiers 2

Medicare PIN045785NJ
Medicare NSC6126990001NJ

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2140939

Medwell, LLC · Midland Park, NJ
Active · expires Mar 28, 2028
CLIA Number31D2140939
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorManouchehr T. Shahab
Laboratory Phone(201) 689-0800
Laboratory LocationMedwell, LLC33 Central Avenue, Midland Park, NJ 07432
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Occupational Therapist
33 CENTRAL AVE
MIDLAND PARK, NJ 07432
Chiropractor
33 CENTRAL AVE
MIDLAND PARK, NJ 07432
Physical Therapist
33 CENTRAL AVE
MIDLAND PARK, NJ 07432
Family Medicine
33 CENTRAL AVE
MIDLAND PARK, NJ 07432
Physical Therapist
33 CENTRAL AVE
MIDLAND PARK, NJ 07432
Chiropractor
33 CENTRAL AVE
MIDLAND PARK, NJ 07432
Family Medicine
33 CENTRAL AVE
MIDLAND PARK, NJ 07432
Occupational Therapist
33 CENTRAL AVE
MIDLAND PARK, NJ 07432

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 Medwell LLC's NPI number?

The NPI number for Medwell LLC is 1659384360. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Medwell LLC located?

Medwell LLC is located at 33 Central Ave, Midland Park, NJ 07432. The listed phone number is (201) 689-0800.

What is Medwell LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Medwell LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2140939) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medwell LLC accept?

Health plans from Medica and Sanford Health Plan list Medwell LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medwell LLC was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.