Provider Demographics
NPI:1184599466
Name:MOVEWELL HOLDINGS LLC
Entity type:Organization
Organization Name:MOVEWELL HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZRAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-784-3684
Mailing Address - Street 1:16 JANE ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-1967
Mailing Address - Country:US
Mailing Address - Phone:646-784-3684
Mailing Address - Fax:
Practice Address - Street 1:79 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1821
Practice Address - Country:US
Practice Address - Phone:732-298-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty