Organization Active NPI

Chiropractic Wellness & Rehab

  • Chiropractor
  • Hackettstown, NJ
National Provider Identifier
1023290699
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00474200 Issued in NJ
Legal business name
CHIROPRACTIC WELLNESS & REHAB
Practice address
254B Mountain Ave.
Suite 101
Hackettstown, NJ 07840-2407
Phone
(908) 852-4321
Fax
(908) 852-5564
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Dr. Steven J Gutkin, DCNPI 1053335539
Title
Chiropractor
Phone
(908) 852-4321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00474200 NJ Primary

Addresses

Primary practice location

254B Mountain Ave.
Suite 101
Hackettstown, NJ 07840-2407

Mailing address

254B Mountain Ave.
Suite 101
Hackettstown, NJ 07840-2407
Phone (908) 852-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000212 NJ Part B Supplier - Clinic/Group Practice 1254505332 Receives reassigned benefits from 1 practitioner
Practice locations: Hackettstown, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1023290699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE.",
            "address_2": "SUITE 101",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402407",
            "telephone_number": "908-852-4321",
            "fax_number": "908-852-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE.",
            "address_2": "SUITE 101",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402407",
            "telephone_number": "908-852-4321",
            "fax_number": "908-852-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "GUTKIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "908-852-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00474200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.