Proactive Care, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00502400 Issued in NJ

Legal business name

PROACTIVE CARE, LLC

Practice address

1072 Valley Rd
Stirling, NJ 07980-1518

Phone

(908) 903-1199

Fax

(908) 901-1188

NPI assigned

Apr 9, 2008

Last updated

Oct 18, 2010By 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

Dr. Glenn C. Mellusi, DC

Title

Owner

Phone

(908) 903-1199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1114190295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 VALLEY RD",
            "city": "STIRLING",
            "state": "NJ",
            "postal_code": "079801518",
            "telephone_number": "908-903-1199",
            "fax_number": "908-901-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 VALLEY RD",
            "city": "STIRLING",
            "state": "NJ",
            "postal_code": "079801518",
            "telephone_number": "908-903-1199",
            "fax_number": "908-901-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "MELLUSI",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-903-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00502400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Philippou
• Kristin Pignio, BCBA
• Martin Pontecorvo Pontecorvo, DO
• Carl Postighone, DO
• Abigail Lewis Priece, LAC
• Shane J Repmann, MED, LPC, BCN
• Robert J Garofalo, DDS PA
• Darrin Rogers, MSW, LCADC
• Danielle Ronay
• Rossi Family Chiropractic, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.