OrganizationActive
21st Century Total Health Clinic PC
NPI 1679909030 · Exclusive Provider Organization · Orange, NJ
Provider details
- NPI number
- 1679909030
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Kesnold Baptiste, President
- License
- 38MCOO641500 (NJ)
Practice location
439 Main St
Suite 101
Orange, NJ 07050-1523
Phone: (973) 675-8700
Fax: (973) 675-8701
Mailing address
439 Main St
Orange, NJ 07050-1523
Registry dates
- Enumerated
- 2013-09-17
- Last updated
- 2016-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.