S.O.B Health System LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

38MC00702600 Issued in NJ

Legal business name

S.O.B HEALTH SYSTEM LLC

Practice address

335 E Jimmie Leeds Rd
Suite a
Galloway, NJ 08205-4127

Phone

(609) 573-5310

Fax

(609) 241-1922

NPI assigned

Nov 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ebenezer O-a Bilewu, D.C

Title

Chiropractic Physician

Phone

(609) 573-5310

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SABAINA FAMILY CHIROPRACTIC AND WELLNESS CENTER Doing business as

Locations

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1174877757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E JIMMIE LEEDS RD",
            "address_2": "SUITE A",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054127",
            "telephone_number": "609-573-5310",
            "fax_number": "609-241-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E JIMMIE LEEDS RD",
            "address_2": "SUITE A",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054127",
            "telephone_number": "609-573-5310",
            "fax_number": "609-241-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.O.B HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "BILEWU",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_middle_name": "O-A",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "609-573-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "38MC00702600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH NEW JERSEY",
            "identifier": "3893359000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH NEW JERSEY",
            "identifier": "389360000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60114338",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SABAINA FAMILY CHIROPRACTIC AND WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Run to the Best You
• Josephine Rundall
• Linda Anne Russomanno, NURSE PRACTITIONER
• Joy Russomano, RD
• Kristin A Ryan, LCSW
• Thomas Sacchetti, OT
• Nadia Sadik, M.D.
• Frank T Sagen, DDS
• Samantha Knocke LLC
• Carley Sanders, LCSW

• Clinic/Center in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.