Rejuvenative Wellness LLC
NPI 1164240156 · Multi-Specialty Clinic/Center · Fort Lee, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rejuvenative Wellness LLC is a Multi-Specialty Clinic/Center organization in Fort Lee, NJ (NPI 1164240156).
Provider details
- NPI number
- 1164240156
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Mitchell, Owner(917) 690-4730
Specialties & taxonomies
Ambulatory Health Care Facilities
- Chiropractor111N00000X
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Ishitani Health Center
Additional practice locations (1)
- 117 Morningside LaneUnit aPalisades Park, NJ 07650Phone: (917) 690-4730
Registry dates
- Enumerated
- 2024-09-30
- Last updated
- 2025-04-26
- Certified
- 2025-04-26
Frequently asked questions
- What is Rejuvenative Wellness LLC's NPI number?
- Rejuvenative Wellness LLC's National Provider Identifier (NPI) is 1164240156, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rejuvenative Wellness LLC?
- Rejuvenative Wellness LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Rejuvenative Wellness LLC located?
- Rejuvenative Wellness LLC's practice location on file with NPPES is 1600 Parker Ave Ste 1, Fort Lee, NJ 07024-7050.
- What is Rejuvenative Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Rejuvenative Wellness LLC is (201) 302-9993.
- Does Rejuvenative Wellness LLC accept Medicare?
- Rejuvenative Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rejuvenative Wellness LLC?
- The authorized official listed on Rejuvenative Wellness LLC's NPPES record is Roger Mitchell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rejuvenative Wellness LLC's NPI active?
- Yes — Rejuvenative Wellness LLC's NPI (1164240156) is active in the NPPES registry as of the last update on 2025-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.