Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

360 New Jersey Medical Group Professional Corporation

Organization Integrative Medicine Physician · NPI 1568394765

360 New Jersey Medical Group Professional Corporation is an Integrative Medicine Physician in Elizabeth, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

1139 E Jersey St
Elizabeth, NJ 07201-2473
Phone: (551) 372-9260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Integrative Medicine Physician Taxonomy 202D00000X

Record details

NPI number1568394765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Villar — Administrator · (773) 645-1192
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address971 Us Highway 202 N Ste N, Branchburg, NJ 08876-3757