THE KEANSBURG WELLNESS CENTER PE LLC – NPI #1710833348
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

THE KEANSBURG WELLNESS CENTER PE LLC is a provider located in KEANSBURG, NJ. NPPES has assigned the NPI number 1710833348 to THE KEANSBURG WELLNESS CENTER PE LLC on March 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Mar 11, 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 THE KEANSBURG WELLNESS CENTER PE LLC below.

NPI Profile for
THE KEANSBURG WELLNESS CENTER PE LLC

NPI Number
1710833348
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
THE KEANSBURG WELLNESS CENTER PE LLC
Primary location
204 MAIN ST
KEANSBURG, NJ 07734-1735
Phone: (732) 495-1474 Fax: (718) 679-9285
Mailing address
233 GIFFORDS LN
STATEN ISLAND, NY 10308-2044
Phone: (732) 495-1474 Fax: (718) 679-9285
Organization Subpart
No
Authorized Official
DENISE CAMMARATA
CREDENTIALING
Phone: (646) 421-3566
Updated
Certification Date
Mar 11, 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
207R00000X
- Internal Medicine (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.