Organization · Type 2 NPI

Nissi IV Hydration Therapy and Wellness Clinic LLC

Family Medicine Physician · East Brunswick, NJ

NPI number 1245005669 Active

Practice location

15 W Prospect St Ste 3
East Brunswick, NJ 08816-2161

Call (732) 301-4465 Map

Fax (732) 301-4492

Mailing address

15 W Prospect Street Suite 3
East Brunswick, NJ 08816-8578

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in East Brunswick

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NPI record

NPI: 1245005669
Entity type: Organization (Type 2)
Issued: Nov 15, 2023
Last updated: Mar 2, 2026
Status: Active

Other names

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Nissi Wellness Clinic · doing business as
Nissi Wellness Clinic · doing business as

Authorized official

Amanda Adiyia, FNP
Owner,administrator
(732) 301-4465

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245005669

Nissi IV Hydration Therapy and Wellness Clinic LLC's National Provider Identifier is 1245005669, issued on Nov 15, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in East Brunswick, NJ. The record was last updated on Mar 2, 2026.