Immaculate Orlando, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00495600 Issued in NJ

Practice address

546 Avenue C
Bayonne, NJ 07002-3704

Phone

(516) 388-8960

Fax

(201) 437-1572

NPI assigned

Jun 3, 2020

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Immaculate Chiropractic PLLC

  • Rehabilitation Clinic/Center
  • Bayonne, NJ
  • NPI 1043102445
  Medicare reassignment NPD Authorized official
• Immaculate Chiropractic PC

  • Chiropractor
  • Bayonne, NJ
  • NPI 1609708478
  NPD Authorized official
• Immaculate Chiropractic PLLC

  • Chiropractor
  • Bayonne, NJ
  • NPI 1598616435
  NPD Authorized official

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1083238216",
    "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": "546 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023704",
            "telephone_number": "516-388-8960",
            "fax_number": "201-437-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLANDO",
        "first_name": "IMMACULATE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00495600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimum Behavioral Health
• Optimus Homecare LLC
• Optum Medical Care of New Jersey PC (Riverside Medical Group)
• Wendy Vanessa Orellana, LPC LICENSED PROFESS
• Orest Padkowsky, MD, LLC
• Oleg I. Orlov, MD
• Orthopaedics Spine and Sports Medicine LLC (Total Orthopedics and Sports Medicine)
• Danielle Ortiz, LPC
• Ostrich Medical Transportation, LLC
• Samir M. Ousserghine

• Chiropractor in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Chiropractor in New Jersey

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

Verify at the official NPI Registry.