Atlantic Wellness Chiropractic PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01095700 Issued in NJ

Legal business name

ATLANTIC WELLNESS CHIROPRACTIC PC

Practice address

380 N Midland Ave
Saddle Brook, NJ 07663-5716

Phone

(201) 880-7077

Fax

(201) 880-7078

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Henry John Cooke, DCNPI 1770536864

Title

President

Phone

(201) 880-7077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry John Cooke, DC

  • Chiropractor
  • Saddle Brook, NJ
  • NPI 1770536864
  Medicare reassignment Care Compare group NPD Authorized official
• Angela Carney, FNP

  • Family Medicine Physician
  • Mahwah, NJ
  • NPI 1770169971
  Medicare reassignment Care Compare group NPD
• Joseph S Checchi, DPT

  • Physical Therapist
  • Ramsey, NJ
  • NPI 1609007616
  Medicare reassignment Care Compare group NPD
• Susan Omar, FNP-C

  • Nurse Practitioner
  • Woodcliff Lake, NJ
  • NPI 1508377201
  Medicare reassignment NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1073661070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PARK AVE",
            "address_2": "SUITE 2C",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805300",
            "telephone_number": "908-755-0590",
            "fax_number": "908-755-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N MIDLAND AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635716",
            "telephone_number": "201-880-7077",
            "fax_number": "201-880-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC WELLNESS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-880-7077",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01095700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Arcentales, DPT
• Rosemary Arena, PH.D.
• Stephanie Ariano, PT, DPT
• Lauralyn Aronowitz, RD
• Aline Assadourian
• Paul Avenoso, PHARMD, BCOP
• Allison Averill, M.D.
• Abrar Awadeh
• Jose Bacolod Jr., RPT
• Balance Medical Care LLC

• Physical Therapist in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.