Activelife Regenerative Therapies
NPI 1225708886ActiveOrganization· Internal Medicine· Pompton Lakes, NJ
Internal Medicine in Pompton Lakes, New Jersey, registered in NPPES in September 2021. The authorized official on file is Kenneth Wolosz, DC, Owner.
Overview
| NPI | 1225708886 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2021 |
| Last updated in NPPES | Jan 5, 2022 |
| Certified by provider | Jan 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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