NPIMap

Organization Active NPI

Rockville Wellness Center

  • Sports Physician Chiropractor
  • Rockville, MD
National Provider Identifier
1104093772
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
S02170 Issued in MD
Legal business name
ROCKVILLE WELLNESS CENTER
Practice address
204 N Adams St
Rockville, MD 20850-1829
Phone
(301) 424-8883
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Joseph Mufareh
Title
President/Doctor
Phone
(301) 424-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X S02170 MD Primary

Addresses

Primary practice location

204 N Adams St
Rockville, MD 20850-1829

Mailing address

204 N Adams St
Rockville, MD 20850-1829

Other names 1

  • Rockville Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

204 N Adams St
Rockville, MD 20850
Phone (301) 424-8883

Practitioners & affiliated clinicians

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1104093772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N ADAMS ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N ADAMS ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501829",
            "telephone_number": "301-424-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "MUFAREH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "301-424-8883"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "S02170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockville Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.