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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