Active NPI
Immaculate Chiropractic PLLC
- Rehabilitation Clinic/Center
- Bayonne, NJ
National Provider Identifier
1043102445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- IMMACULATE CHIROPRACTIC PLLC
- Practice address
- 10 W 46TH St
Bayonne, NJ 07002-4003 - Phone
- (516) 388-8960
- Fax
- (201) 437-1572
- NPI assigned
- Jul 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Immaculate Orlando
- Title
- Owner
- Phone
- (516) 388-8960
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
10 W 46TH St
Bayonne, NJ 07002-4003
Mailing address
10 W 46TH St
Bayonne, NJ 07002-4003
Phone (516) 388-8960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250818000151 | NJ | Part B Supplier - Clinic/Group Practice | 9537668512 |
Receives reassigned benefits from 1 practitioner Practice locations: Bayonne, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Immaculate Chiropractic PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Bayonne, NJ
- NPI 1598616435
Practitioners 1
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": "1752796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1043102445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 W 46TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024003",
"telephone_number": "516-388-8960",
"fax_number": "201-437-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W 46TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024003",
"telephone_number": "516-388-8960",
"fax_number": "201-437-1572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMACULATE CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-18",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "ORLANDO",
"authorized_official_first_name": "IMMACULATE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-388-8960",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"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 Feb 4, 2026; 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.