Provider Demographics
NPI:1033084652
Name:THRIVIO HEALTH
Entity type:Organization
Organization Name:THRIVIO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER,CEO
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEMADU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-305-7071
Mailing Address - Street 1:335 GEORGE ST STE 4
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-4080
Mailing Address - Country:US
Mailing Address - Phone:848-305-7071
Mailing Address - Fax:
Practice Address - Street 1:225 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-1301
Practice Address - Country:US
Practice Address - Phone:848-305-7071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No251B00000XAgenciesCase Management