Integrated Wholistic Medicine, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00709300 Issued in NJ

Legal business name

INTEGRATED WHOLISTIC MEDICINE, LLC

Practice address

125 Prospect Ave Ste 1
Hackensack, NJ 07601-2208

Phone

(845) 417-1041

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Massarone, ND, DC

Title

Owner

Phone

(845) 417-1041

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1023524220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PROSPECT AVE STE 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PROSPECT AVE STE 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012208",
            "telephone_number": "845-417-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WHOLISTIC MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "MASSARONE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-417-1041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00709300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.