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Organization
NISSI IV HYDRATION THERAPY AND WELLNESS CLINIC LLC
Active
Organization
NISSI IV HYDRATION THERAPY AND WELLNESS CLINIC LLC
Active
Other names
Nissi Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ADIYIA FNP (OWNER,ADMINISTRATOR)
(732) 301-4465
Entity
Organization
Contact information
Practice address
15 W PROSPECT ST STE 3, EAST BRUNSWICK, NJ 08816-2161
(732) 301-4465
(732) 301-4492
Mailing address
15 W PROSPECT STREET SUITE 3, EAST BRUNSWICK, NJ 08816-8578
(732) 301-4465
(732) 301-4492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/15/2023
Last updated
03/02/2026
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