OrganizationActive
Wellness 360 LLC
NPI 1689453250 · Family Medicine Physician · Matawan, NJ
Provider details
- NPI number
- 1689453250
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anant Nischal, Owner, PA(732) 719-6864
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
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
145 Route 34
Matawan, NJ 07747-2187
Phone: (732) 719-6864
Street-level locationGet directions
Mailing address
200 Perrine Rd Ste 230
Old Bridge, NJ 08857-2871
Registry dates
- Enumerated
- 2023-09-25
- Last updated
- 2023-09-25
- Certified
- 2023-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.