Organization Active NPI

Innate Health & Wellness

  • Chiropractor
  • Bayonne, NJ
National Provider Identifier
1033713813
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INNATE HEALTH & WELLNESS
Practice address
421 Broadway
Bayonne, NJ 07002-3627
Phone
(609) 486-2150
Fax
(609) 486-2149
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Lauren Kuchno
Title
Office Rep
Phone
(833) 789-3227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

421 Broadway
Bayonne, NJ 07002-3627

Mailing address

421 Broadway
Bayonne, NJ 07002-3627
Phone (609) 486-2150

National Provider Directory

National Provider Directory

Locations

421 Broadway
Bayonne, NJ 07002
Phone (609) 486-2150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1033713813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023627",
            "telephone_number": "609-486-2150",
            "fax_number": "609-486-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023627",
            "telephone_number": "609-486-2150",
            "fax_number": "609-486-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "KUCHNO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE REP",
        "authorized_official_telephone_number": "833-789-3227"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.