Health & Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEALTH & WELLNESS CENTER LLC

Practice address

1037 Preakness Ave
Wayne, NJ 07470-2803

Phone

(973) 595-8969

NPI assigned

Nov 29, 2012

Last updated

Nov 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William DemioNPI 1538253398

Title

Chiropractor

Phone

(973) 595-8969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• William Demio IV, DC

  • Chiropractor
  • Wayne, NJ
  • NPI 1538253398
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1104161215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 PREAKNESS AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 PREAKNESS AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702803",
            "telephone_number": "973-595-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "DEMIO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-595-8969"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.