Organization Active NPI

Living Wellness Center of Passaic County PC

  • Chiropractor
  • Paterson, NJ
National Provider Identifier
1164815320
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC004260 Issued in NJ
Legal business name
LIVING WELLNESS CENTER OF PASSAIC COUNTY PC
Practice address
318 21St Ave
Paterson, NJ 07501-3538
Phone
(973) 345-7777
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Ms. Kathy Saunders
Title
Billing Manager
Phone
(732) 441-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X MC004260 NJ Primary

Addresses

Primary practice location

318 21St Ave
Paterson, NJ 07501-3538

Mailing address

400 Route 34
Suite a
Matawan, NJ 07747-2155
Phone (732) 441-7177

National Provider Directory

National Provider Directory

Locations

220 Hamburg Tpke
Ste 1
Wayne, NJ 07470
Phone (973) 904-0404

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1164815320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROUTE 34",
            "address_2": "SUITE A",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472155",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013538",
            "telephone_number": "973-345-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELLNESS CENTER OF PASSAIC COUNTY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-441-7177",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC004260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.