OrganizationActive
East-West Wellness Center
NPI 1124334099 · Clinic/Center · Southampton, PA
Provider details
- NPI number
- 1124334099
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Veronica Bolhovitinova, Director(215) 322-7733
- License
- AK000721 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
649 2nd Street Pike Ste B
Southampton, PA 18966-3996
Phone: (215) 322-7733
Fax: (215) 322-7743
Street-level locationGet directions
Mailing address
649 2nd Street Pike Ste B
Southampton, PA 18966-3996
Registry dates
- Enumerated
- 2010-08-29
- Last updated
- 2010-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.