Tides of Change Wellness Collaborative, LLC
NPI 1104590264 · Neuromusculoskeletal Medicine & OMM Physician · Northfield, NJ
Tides of Change Wellness Collaborative, LLC is a Neuromusculoskeletal Medicine & OMM Physician organization in Northfield, NJ (NPI 1104590264).
Provider details
- NPI number
- 1104590264
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lauren Davis, Co-Owner / Member(856) 332-1151
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-03
- Last updated
- 2021-08-03
- Certified
- 2021-08-03
Frequently asked questions
- What is Tides of Change Wellness Collaborative, LLC's NPI number?
- Tides of Change Wellness Collaborative, LLC's National Provider Identifier (NPI) is 1104590264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tides of Change Wellness Collaborative, LLC?
- Tides of Change Wellness Collaborative, LLC is classified in the NPPES registry as Neuromusculoskeletal Medicine & OMM Physician (Allopathic & Osteopathic Physicians).
- Where is Tides of Change Wellness Collaborative, LLC located?
- Tides of Change Wellness Collaborative, LLC's practice location on file with NPPES is 1423 Tilton Rd Ste 4, Northfield, NJ 08225-1857.
- What is Tides of Change Wellness Collaborative, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tides of Change Wellness Collaborative, LLC is (856) 332-1151.
- Who is the authorized official for Tides of Change Wellness Collaborative, LLC?
- The authorized official listed on Tides of Change Wellness Collaborative, LLC's NPPES record is Lauren Davis, Co-Owner / Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tides of Change Wellness Collaborative, LLC's NPI active?
- Yes — Tides of Change Wellness Collaborative, LLC's NPI (1104590264) is active in the NPPES registry as of the last update on 2021-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.