Organization Active NPI

Colacurcio Wellness LLC

  • Chiropractor
  • Caldwell, NJ
National Provider Identifier
1063833283
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00668500 Issued in NJ
Legal business name
COLACURCIO WELLNESS LLC
Practice address
85 Bloomfield Ave
Caldwell, NJ 07006-5311
Phone
(973) 228-2481
Fax
(973) 228-5091
NPI assigned
Dec 16, 2013
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Steve Vincent Colacurcio, D.C.NPI 1801042411
Title
Owner/President
Phone
(973) 228-2481

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00668500 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01411800 NJ

Addresses

Primary practice location

85 Bloomfield Ave
Caldwell, NJ 07006-5311

Mailing address

85 Bloomfield Ave
Caldwell, NJ 07006-5311
Phone (973) 228-2481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140416000141 NJ Part B Supplier - Clinic/Group Practice 6204068786 Receives reassigned benefits from 1 practitioner
Practice locations: West Caldwell, NJ

National Provider Directory

National Provider Directory

Locations

85 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 228-2481

777 Bloomfield Ave
West Caldwell, NJ 07006
Phone (973) 228-2481

Practitioners & affiliated clinicians

Practitioners 4

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": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1063833283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065311",
            "telephone_number": "973-228-2481",
            "fax_number": "973-228-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065311",
            "telephone_number": "973-228-2481",
            "fax_number": "973-228-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLACURCIO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "COLACURCIO",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-228-2481",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00668500",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01411800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.