Provider Demographics
NPI:1679452148
Name:EXCLUSIVE HEALTHCARE LLC
Entity type:Organization
Organization Name:EXCLUSIVE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BERGENIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CELONY
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:973-814-1278
Mailing Address - Street 1:2816 MORRIS AVE STE 20B
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4849
Mailing Address - Country:US
Mailing Address - Phone:973-339-3181
Mailing Address - Fax:973-339-3182
Practice Address - Street 1:2816 MORRIS AVE # 20B
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-4849
Practice Address - Country:US
Practice Address - Phone:973-339-3181
Practice Address - Fax:973-339-3182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty