Organization Active NPI

Calabro Chiropractic and Wellness Center, LLC

  • Chiropractor
  • Linwood, NJ
National Provider Identifier
1053503391
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00574700 Issued in NJ
Legal business name
CALABRO CHIROPRACTIC AND WELLNESS CENTER, LLC
Practice address
199 New Rd Ste 53
Linwood, NJ 08221-2025
Phone
(609) 653-9501
Fax
(609) 653-9502
NPI assigned
Aug 10, 2007
Last updated
Jul 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Dr. David J Calabro, DCNPI 1942334370
Title
Owner/Doctor
Phone
(609) 653-9501

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
Chiropractor 111N00000X 38MC00574700 NJ Primary

Addresses

Primary practice location

199 New Rd Ste 53
Linwood, NJ 08221-2025

Mailing address

199 New Rd Ste 53
Linwood, NJ 08221-2025
Phone (609) 653-9501

Other identifiers 1

IdentifierTypeStateIssuer
049299OtherNJMEDICARE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120731000380 NJ Part B Supplier - Clinic/Group Practice 4082870399 Receives reassigned benefits from 1 practitioner
Practice locations: Linwood, NJ

National Provider Directory

National Provider Directory

Locations

199 New Rd
Ste 3031
Linwood, NJ 08221
Phone (609) 653-9501

199 New Rd
Ste 53
Linwood, NJ 08221
Phone (609) 653-9501

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": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1053503391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 NEW RD STE 53",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-653-9501",
            "fax_number": "609-653-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 NEW RD STE 53",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-653-9501",
            "fax_number": "609-653-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALABRO CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "CALABRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "609-653-9501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00574700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "049299",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.