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

Origin LLC

Organization Multi-Specialty Clinic/Center · NPI 1124691647

Origin LLC is a Multi-Specialty Clinic/Center in Willingboro, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14 Gallaway Ln
Willingboro, NJ 08046-3226
Phone: (908) 494-5150
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1124691647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leez-Betina Petit — Founder · (908) 494-5150
NPI enumeratedJuly 22, 2021
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021
Mailing address14 Gallaway Ln, Willingboro, NJ 08046-3226