Chaviv Trt & Wellness Clinic LLC
NPI 1619855442ActiveOrganization· Nurse Practitioner, Adult Health· Marlton, NJ
Nurse Practitioner, Adult Health in Marlton, New Jersey, registered in NPPES in August 2025. The authorized official on file is Vivian Owusu-Mensah, DNP, PMHNP, APN, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619855442 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2025 |
| Last updated in NPPES | Aug 21, 2026 |
| Certified by provider | Aug 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
| Clinical Nurse Specialist, Psych/Mental Health | 364SP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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