OrganizationActive
Iconic Medical and Wellness Centers
NPI 1831789338 · Health Service Clinic/Center · Mendham, NJ
Provider details
- NPI number
- 1831789338
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maria Korogodsky, Physician Assistant(908) 403-1160
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
5 Cold Hill Rd S Ste 26j
Mendham, NJ 07945-3208
Phone: (973) 531-6377
Street-level locationGet directions
Mailing address
5 Cold Hill Rd S Ste 26j
Mendham, NJ 07945-3208
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.