PHYSIQUE LABS – NPI #1922956382
Clinic/Center

PHYSIQUE LABS is an AHC clinic located in MEDFORD, NJ. NPPES recently assigned the NPI number 1922956382 to PHYSIQUE LABS on March 19, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QC1500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Community Health

The NPI profile was last updated on Mar 24, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYSIQUE LABS below.

NPI Profile for
PHYSIQUE LABS

NPI Number
1922956382
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSIQUE LABS
Primary location
417 STOKES RD STE C
MEDFORD, NJ 08055-8408
Phone: (609) 654-5679 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ADAM NISSENSOHN
OWNER
Phone: (609) 654-5679
Updated
Certification Date
Mar 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QC1500X
- Clinic/Center / Community Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.