Ketavita Wellness Clinic PC
NPI 1649162439 · Clinic/Center · Wyckoff, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketavita Wellness Clinic PC is a Clinic/Center organization in Wyckoff, NJ (NPI 1649162439).
Provider details
- NPI number
- 1649162439
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mehdi Pouria, Owner(925) 565-8498
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-07-16
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Frequently asked questions
- What is Ketavita Wellness Clinic PC's NPI number?
- Ketavita Wellness Clinic PC's National Provider Identifier (NPI) is 1649162439, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketavita Wellness Clinic PC?
- Ketavita Wellness Clinic PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ketavita Wellness Clinic PC located?
- Ketavita Wellness Clinic PC's practice location on file with NPPES is 365 Franklin Ave, Wyckoff, NJ 07481-1971.
- What is Ketavita Wellness Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Ketavita Wellness Clinic PC is (925) 565-8498.
- Does Ketavita Wellness Clinic PC accept Medicare?
- Ketavita Wellness Clinic PC 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 Ketavita Wellness Clinic PC?
- The authorized official listed on Ketavita Wellness Clinic PC's NPPES record is Mehdi Pouria, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketavita Wellness Clinic PC's NPI active?
- Yes — Ketavita Wellness Clinic PC's NPI (1649162439) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.