Provider Demographics
NPI:1164963765
Name:ENERGY ESSENCE LLC
Entity Type:Organization
Organization Name:ENERGY ESSENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE AND BODYWORK THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:908-864-7733
Mailing Address - Street 1:954 PAPEN RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1375
Mailing Address - Country:US
Mailing Address - Phone:908-864-7733
Mailing Address - Fax:
Practice Address - Street 1:318 US HIGHWAY 202
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-1526
Practice Address - Country:US
Practice Address - Phone:908-864-7733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00067400225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty