# NERDO WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053252171
- **Authorized official:** DR. NICHOLAS EDWARD ROY DO (PHYSICIAN)
- **Authorized official phone:** (207) 649-0633

## Contact information

- **Practice address:** 9 TUCKER CT, LAUREL SPRINGS, NJ 08021-2813
- **Practice address phone:** (207) 649-0633
- **Practice address fax:** (856) 249-9599
- **Mailing address:** 111 TOWN SQUARE PL STE 1238, JERSEY CITY, NJ 07310-1810
- **Mailing address phone:** (207) 649-0633
- **Mailing address fax:** (856) 249-9599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2026
- **Last updated:** 04/02/2026