NPIMap

Organization Active NPI

Jersey Central Chiropractic Health and Wellness, LLC

  • Chiropractor
  • Somerville, NJ
National Provider Identifier
1124579719
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00738800 Issued in NJ
Legal business name
JERSEY CENTRAL CHIROPRACTIC HEALTH AND WELLNESS, LLC
Practice address
92 E Main St
Suite 411 a
Somerville, NJ 08876-2319
Phone
(908) 707-9700
Fax
(908) 218-0463
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Dr. Adam Galasso, DC
Title
President Owner
Phone
(908) 707-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00738800 NJ Primary

Addresses

Primary practice location

92 E Main St
Suite 411 a
Somerville, NJ 08876-2319

Mailing address

92 E Main St
Suite 411 a
Somerville, NJ 08876-2319
Phone (908) 707-9700

National Provider Directory

National Provider Directory

Locations

92 E Main St
Ste 411A
Somerville, NJ 08876
Phone (908) 707-9700

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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1124579719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 E MAIN ST",
            "address_2": "SUITE 411 A",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762319",
            "telephone_number": "908-707-9700",
            "fax_number": "908-218-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 E MAIN ST",
            "address_2": "SUITE 411 A",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762319",
            "telephone_number": "908-707-9700",
            "fax_number": "908-218-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CENTRAL CHIROPRACTIC HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "GALASSO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT   OWNER",
        "authorized_official_telephone_number": "908-707-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00738800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.