Madalian Chiropractic & Physical Therapy PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

03475 Issued in NJ

Legal business name

MADALIAN CHIROPRACTIC & PHYSICAL THERAPY PC

Practice address

573 Valley Rd
Suite 3
Wayne, NJ 07470-3511

Phone

(973) 633-0117

NPI assigned

Apr 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Henry Madalian, DCNPI 1033248521

Title

Owner

Phone

(973) 633-1757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry H Madalian, D.C.

  • Chiropractor
  • Wayne, NJ
  • NPI 1033248521
  Medicare reassignment NPD Authorized official
• Shellinie D Muneshwar, NP

  • Family Nurse Practitioner
  • North Arlington, NJ
  • NPI 1801483888
  Medicare reassignment NPD
• Patricia Mygas, OTR

  • Occupational Therapist
  • Randolph, NJ
  • NPI 1023687209
  Medicare reassignment NPD
• Lovelyn Ocana Ravago, PT

  • Physical Therapist
  • Short Hills, NJ
  • NPI 1912942293
  Medicare reassignment NPD
• Eun Jung Lee

  • Acupuncturist
  • Wayne, NJ
  • NPI 1750728481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1003081514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 VALLEY RD",
            "address_2": "SUITE 3",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703511",
            "telephone_number": "973-633-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 VALLEY RD",
            "address_2": "SUITE 3",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703511",
            "telephone_number": "973-633-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADALIAN CHIROPRACTIC & PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "MADALIAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-633-1757",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "03475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Mabin, M.ED, LAC, NCC
• Charles F Macaluso, M.D.
• Jessica Macaluso
• Deanna Z Macek, MD
• Rebecca Macey
• Henry H Madalian, D.C.
• Marisa Marie Maertens
• Dawn Marie Maffucci, ATC, LMT
• Milana Maftsir, DDS
• Mag Group PC

• Rehabilitation Chiropractor in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Rehabilitation Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.