Organization
ADVANCED WELLNESS AND THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN T MINGOIA FNP-C, DC (OWNER)
(201) 436-0911
Entity
Organization
Contact information
Practice address
777 AVENUE C, BAYONNE, NJ 07002
(201) 436-0911
Mailing address
777 AVENUE C, BAYONNE, NJ 07002-2844
(201) 436-0911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
225X00000X
Occupational Therapist
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
06/23/2025
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