IMMEDIHEALTH & WELLNESS CENTER
NPI 1760622955
Family Medicine in Little Falls, NJ
About Immedihealth & Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMMEDIHEALTH & WELLNESS CENTER (NPI 1760622955) is a healthcare organization registered as a family medicine in Little Falls, New Jersey and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Ishak Soliman, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Immedihealth & Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Immedihealth & Wellness Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 31D2227021
Immedihealth & Wellness Center · Little Falls, NJFrequently 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 Immedihealth & Wellness Center's NPI number?
The NPI number for Immedihealth & Wellness Center is 1760622955. It was assigned to this organization in the NPPES registry on February 27, 2009.
Where is Immedihealth & Wellness Center located?
Immedihealth & Wellness Center is located at 201 Lower Notch Rd, Little Falls, NJ 07424. The listed phone number is (973) 714-2688.
What is Immedihealth & Wellness Center's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Immedihealth & Wellness Center enrolled in Medicare?
Yes. Immedihealth & Wellness Center is registered in the Medicare PECOS enrollment system.
When is Immedihealth & Wellness Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Immedihealth & Wellness Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Immedihealth & Wellness Center. 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.
Does Immedihealth & Wellness Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2227021) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Immedihealth & Wellness Center was last updated on February 27, 2009. 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.
# Immedihealth & Wellness Center · NPI 1760622955
Family Medicine organization in Little Falls, New Jersey. Organization record, active in the CMS NPPES registry since February 27, 2009.
## Identity
- **NPI:** 1760622955 (Entity type: Organization)
- **Enumerated:** February 27, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ishak Soliman, OWNER/PRESIDENT
## Practice location
- **Address:** 201 LOWER NOTCH RD, Little Falls, NJ 07424-1802
- **Phone:** (973) 714-2688 · **Fax:** (973) 777-8929
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2009
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760622955) · Data from the CMS NPPES public registry.