Active NPI
Living Wellness Center of Passaic County PC
- Chiropractor
- Paterson, NJ
National Provider Identifier
1164815320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC004260
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.