Lakewood Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00649200 Issued in NJ

Legal business name

LAKEWOOD WELLNESS CENTER, LLC

Practice address

1700 Madison Ave
Lakewood, NJ 08701-1253

Phone

(732) 363-7900

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Jeffrey Podob, D.C.

Title

President

Phone

(732) 363-7900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1114097367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011253",
            "telephone_number": "732-363-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011253",
            "telephone_number": "732-363-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "PODOB",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-363-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00649200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakewood Speech Solutions, LLC
• Lakewood Study Square Inc
• Lakewood Surgery Center, LLC
• Lakewood Therapists, LLC
• Lakewood Total Care, P.C.
• Anthony Michael Lamendola, PHARM.D.
• Rochel Perel Lamm, CD(DONA), LCCE
• Zisel Lampert
• Ronald J Lancz, DPM
• Chaya M. Landau, MA

• All providers in Lakewood, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.