OrganizationActive
Origin LLC
NPI 1124691647 · Multi-Specialty Clinic/Center · Willingboro, NJ
Origin LLC is a Multi-Specialty Clinic/Center organization in Willingboro, NJ (NPI 1124691647).
Provider details
- NPI number
- 1124691647
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leez-Betina Petit, Founder(908) 494-5150
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
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
14 Gallaway Ln
Willingboro, NJ 08046-3226
Phone: (908) 494-5150
Street-level locationGet directions
Mailing address
14 Gallaway Ln
Willingboro, NJ 08046-3226
Registry dates
- Enumerated
- 2021-07-22
- Last updated
- 2021-07-22
- Certified
- 2021-07-22
Frequently asked questions
- What is Origin LLC's NPI number?
- Origin LLC's National Provider Identifier (NPI) is 1124691647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Origin LLC?
- Origin LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Origin LLC located?
- Origin LLC's practice location on file with NPPES is 14 Gallaway Ln, Willingboro, NJ 08046-3226.
- What is Origin LLC's phone number?
- The practice phone number listed in the NPPES registry for Origin LLC is (908) 494-5150.
- Who is the authorized official for Origin LLC?
- The authorized official listed on Origin LLC's NPPES record is Leez-Betina Petit, Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Origin LLC's NPI active?
- Yes — Origin LLC's NPI (1124691647) is active in the NPPES registry as of the last update on 2021-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.