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

Activelife Regenerative Therapies

Organization Internal Medicine Physician · NPI 1225708886

Activelife Regenerative Therapies is an Internal Medicine Physician in Pompton Lakes, New Jersey. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

413 Wanaque Ave
Pompton Lakes, NJ 07442-1844
Phone: (973) 997-0542
Fax: (973) 831-6763
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1225708886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Wolosz — Owner · (973) 997-0542
NPI enumeratedSeptember 15, 2021
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address413 Wanaque Ave, Pompton Lakes, NJ 07442-1844

Other providers in Pompton Lakes