Axiomwellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

AXIOMWELLNESS LLC

Doing business as

axiom wellnesss center

Practice address

2357 Lemoine Ave
Fort Lee, NJ 07024-6229

Phone

(201) 944-4552

Fax

(201) 944-6551

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Kim, DC

Title

Director

Phone

(201) 944-4552

Specialties & licenses 3

Addresses

Other names 1

• axiom wellnesss center Doing business as

Locations

Practitioners 1

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

• John Robert Delisi, D.C.

  • Chiropractor
  • Pomona, NY
  • NPI 1902983885
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1003263005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246229",
            "telephone_number": "201-944-4552",
            "fax_number": "201-944-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2357 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246229",
            "telephone_number": "201-944-4552",
            "fax_number": "201-944-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOMWELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-944-4552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "axiom wellnesss center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marti Austin, MS, RD, CDN
• Axiomwellness LLC
• Babybuddha Products LLC
• Andrew Chungsup Bae, D.D.S
• Jay Kyung Bae, DDS
• Stacy Bagaloo

• Chiropractor in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.