Nissi IV Hydration Therapy and Wellness Clinic LLC
NPI 1245005669 · Family Medicine Physician · East Brunswick, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nissi IV Hydration Therapy and Wellness Clinic LLC is a Family Medicine Physician organization in East Brunswick, NJ (NPI 1245005669).
Provider details
- NPI number
- 1245005669
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Adiyia, Owner,administrator(732) 301-4465
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Other names (DBA / former)
- Doing business as
- Nissi Wellness Clinic
- Doing business as
- Nissi Wellness Clinic
Registry dates
- Enumerated
- 2023-11-15
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Frequently asked questions
- What is Nissi IV Hydration Therapy and Wellness Clinic LLC's NPI number?
- Nissi IV Hydration Therapy and Wellness Clinic LLC's National Provider Identifier (NPI) is 1245005669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nissi IV Hydration Therapy and Wellness Clinic LLC?
- Nissi IV Hydration Therapy and Wellness Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nissi IV Hydration Therapy and Wellness Clinic LLC located?
- Nissi IV Hydration Therapy and Wellness Clinic LLC's practice location on file with NPPES is 15 W Prospect St Ste 3, East Brunswick, NJ 08816-2161.
- What is Nissi IV Hydration Therapy and Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Nissi IV Hydration Therapy and Wellness Clinic LLC is (732) 301-4465.
- Does Nissi IV Hydration Therapy and Wellness Clinic LLC accept Medicare?
- Nissi IV Hydration Therapy and Wellness Clinic 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 Nissi IV Hydration Therapy and Wellness Clinic LLC?
- The authorized official listed on Nissi IV Hydration Therapy and Wellness Clinic LLC's NPPES record is Amanda Adiyia, Owner,administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nissi IV Hydration Therapy and Wellness Clinic LLC's NPI active?
- Yes — Nissi IV Hydration Therapy and Wellness Clinic LLC's NPI (1245005669) is active in the NPPES registry as of the last update on 2026-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.