Provider Demographics
NPI:1831439801
Name:NEXT LEVEL HEALING OF NJ, INC.
Entity type:Organization
Organization Name:NEXT LEVEL HEALING OF NJ, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-586-0629
Mailing Address - Street 1:166 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-1537
Mailing Address - Country:US
Mailing Address - Phone:973-586-0629
Mailing Address - Fax:
Practice Address - Street 1:166 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-1537
Practice Address - Country:US
Practice Address - Phone:973-586-0629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10942600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty