Monmouth Family Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00578500 Issued in NJ

Legal business name

MONMOUTH FAMILY WELLNESS CENTER

Doing business as

Monmouth family Wellness & Chiropractic Center

Practice address

1247 Hwy 36
Union Beach, NJ 07735-3519

Phone

(732) 619-1656

NPI assigned

May 16, 2011

Last updated

May 16, 2011By 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. Jason Edward Vengelis, DCNPI 1982789228

Title

Owner

Phone

(732) 619-1656

Specialties & licenses 1

Addresses

Other names 1

• Monmouth family Wellness & Chiropractic Center Doing business as

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.

• Jason Vengelis, DC

  • Chiropractor
  • Union Beach, NJ
  • NPI 1982789228
  NPD (past) Authorized official

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1124311758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 HWY 36",
            "city": "UNION BEACH",
            "state": "NJ",
            "postal_code": "077353519",
            "telephone_number": "732-619-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 HWY 36",
            "city": "UNION BEACH",
            "state": "NJ",
            "postal_code": "077353519",
            "telephone_number": "732-619-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH FAMILY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "VENGELIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-619-1656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00578500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monmouth family Wellness & Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Gissell Heimenrath, MS
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• Rebecca Henriquez, LCSW
• Julie Coker LCSW LLC
• M.Dwyer LLC
• Platinum Physical Therapy & Wellness
• Daniella Polimeni, LCSW
• Prevention First Primary Care Inc
• Altagracia Ramirez, COTA
• Alla Rico, RDN

• Chiropractor in Union Beach, NJ
• Providers in Union Beach, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.