OrganizationActive
Ageless Nj LLC
NPI 1023608734 · Primary Care Clinic/Center · Edgewater, NJ
Provider details
- NPI number
- 1023608734
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Wilkinson, Director of Business Operations(602) 796-2559
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
725 River Rd Ste 108
Edgewater, NJ 07020-1170
Phone: (901) 757-3643
Approximate (ZIP-level) locationGet directions
Mailing address
725 River Rd Ste 108
Edgewater, NJ 07020-1170
Other names (DBA / former)
- Doing business as
- Ageless Men'S Health
- Doing business as
- Ageless Men'S Health
Additional practice locations (1)
- 1949 Route 70 E Ste 7Cherry Hill, NJ 08003-2145Phone: (201) 496-6491
Registry dates
- Enumerated
- 2021-01-26
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.