NPIMap

Organization Active NPI

Complete Chiropractic Wellness Center LLC

  • Chiropractor
  • Westwood, NJ
National Provider Identifier
1013106756
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00574900 Issued in NJ
Legal business name
COMPLETE CHIROPRACTIC WELLNESS CENTER LLC
Practice address
354 Old Hook Rd
101
Westwood, NJ 07675-3246
Phone
(201) 664-8587
Fax
(201) 722-0882
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Darren Porcaro, D.C.
Title
Owner/Manager
Phone
(201) 664-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00574900 NJ Primary

Addresses

Primary practice location

354 Old Hook Rd
101
Westwood, NJ 07675-3246

Mailing address

354 Old Hook Rd
101
Westwood, NJ 07675-3246
Phone (201) 664-8587

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1013106756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD",
            "address_2": "101",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753246",
            "telephone_number": "201-664-8587",
            "fax_number": "201-722-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD",
            "address_2": "101",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753246",
            "telephone_number": "201-664-8587",
            "fax_number": "201-722-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "PORCARO",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "201-664-8587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00574900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.