Provider Demographics
NPI:1962962969
Name:OJUS WELLNESS PC
Entity type:Organization
Organization Name:OJUS WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANANT
Authorized Official - Middle Name:
Authorized Official - Last Name:NISCHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-872-6595
Mailing Address - Street 1:2373 HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-2560
Mailing Address - Country:US
Mailing Address - Phone:732-872-6595
Mailing Address - Fax:
Practice Address - Street 1:2373 HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-2560
Practice Address - Country:US
Practice Address - Phone:732-872-6595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty