NPIMap

Organization Active NPI

Olive Chiropractic & Wellness Center LLC

  • Chiropractor
  • Bayonne, NJ
National Provider Identifier
1174964704
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OLIVE CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
36 W 46TH St
Bayonne, NJ 07002-4003
Phone
(201) 706-0135
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Andrea Pauline Redondo, DCNPI 1760897391
Title
Owner
Phone
(201) 706-0135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

36 W 46TH St
Bayonne, NJ 07002-4003

Mailing address

36 W 46TH St
Bayonne, NJ 07002-4003
Phone (201) 706-0135

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1174964704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W 46TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024003",
            "telephone_number": "201-706-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 46TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024003",
            "telephone_number": "201-706-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "REDONDO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-706-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.