OrganizationActive
The Keansburg Wellness Center Pe LLC
NPI 1710833348 · Internal Medicine Physician · Keansburg, NJ
Provider details
- NPI number
- 1710833348
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denise Cammarata, Credentialing(646) 421-3566
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
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
204 Main St
Keansburg, NJ 07734-1735
Phone: (732) 495-1474
Fax: (718) 679-9285
Street-level locationGet directions
Mailing address
233 Giffords Ln
Staten Island, NY 10308-2044
Registry dates
- Enumerated
- 2026-03-06
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.