Maximum Health & Wellness Kenilworth LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAXIMUM HEALTH & WELLNESS KENILWORTH LLC

Practice address

505 N Michigan Ave
Kenilworth, NJ 07033-1076

Phone

(973) 585-7315

NPI assigned

Feb 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lauren Kuchno

Title

Office Rep

Phone

(833) 789-3227

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1154745123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N MICHIGAN AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331076",
            "telephone_number": "973-585-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MICHIGAN AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331076",
            "telephone_number": "973-585-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM HEALTH & WELLNESS KENILWORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "KUCHNO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE REP",
        "authorized_official_telephone_number": "833-789-3227",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.