SOLE WELLNESS & AESTHETICS, LLC
NPI 1760916936
Podiatrist in Mount Laurel, NJ

Q: What is Sole Wellness & Aesthetics, LLC's NPI number?

The NPI number for Sole Wellness & Aesthetics, LLC is 1760916936. It was assigned to this organization in the NPPES registry on April 14, 2017.

Q: What is Sole Wellness & Aesthetics, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since April 14, 2017

3221 ROUTE 38 STE 102, MOUNT LAUREL, NJ 08054(732) 305-0891(732) 510-5236 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2024, Apr 14, 2017 (2 updates tracked since 2017).

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About Sole Wellness & Aesthetics, Llc NPPES

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

SOLE WELLNESS & AESTHETICS, LLC (NPI 1760916936) is a healthcare organization registered as a podiatrist in Mount Laurel, New Jersey and active in the NPI registry since April 2017. The organization lists Danial Khalifa, Owner, as its authorized official.

NPPES Registry Identity

NPI1760916936

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameSOLE WELLNESS & AESTHETICS, LLC

Location Address3221 ROUTE 38 STE 102Mount Laurel, NJ 08054-9765

Mailing Address3221 Route 38 Ste 102Mount Laurel, NJ 08054-9765

Phone(732) 305-0891

Fax(732) 510-5236

Organization SubpartNo

Authorized OfficialDanial KhalifaOwner · (732) 425-7772

Enumeration DateApril 14, 2017

Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1760916936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3221 ROUTE 38 STE 102, Mount Laurel, NJ 08054

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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

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)

Sole Wellness & Aesthetics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20180511000590DME · Physician - General PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sole Wellness & Aesthetics, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Danial Khalifa, DPM

Podiatry

NPI 1467899898

3221 ROUTE 38 STE 102
Mount Laurel, NJ 08054

(732) 305-0891

✔ PECOS✔ Accepts MedicareSame address

Alexa Gorda, DPM

Podiatry

NPI 1073272571

975 ROUTE 73 N STE E
Marlton, NJ 08053

(856) 403-7923

✔ PECOS✔ Accepts Medicare7.9 mi

Urwah Haq, DPM

Podiatry

NPI 1366844870

7350 SANDLAKE COMMONS BLVD STE 1102
Orlando, FL 32819

(407) 345-5211

✔ PECOS✔ Accepts Medicare880 mi

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 Sole Wellness & Aesthetics, LLC's NPI number?

The NPI number for Sole Wellness & Aesthetics, LLC is 1760916936. It was assigned to this organization in the NPPES registry on April 14, 2017.

Where is Sole Wellness & Aesthetics, LLC located?

Sole Wellness & Aesthetics, LLC is located at 3221 Route 38 Ste 102, Mount Laurel, NJ 08054. The listed phone number is (732) 305-0891.

What is Sole Wellness & Aesthetics, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Sole Wellness & Aesthetics, LLC enrolled in Medicare?

Yes. Sole Wellness & Aesthetics, LLC is registered in the Medicare PECOS enrollment system.

When is Sole Wellness & Aesthetics, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Physician - General Practice) is due for revalidation by February 28, 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 Sole Wellness & Aesthetics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Sole Wellness & Aesthetics, 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sole Wellness & Aesthetics, LLC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.