NPIMap

Organization Active NPI

Santangelo Chiropractic and Rehabilitation Center, LLC

Doing business as Integrative Wellness Associates, LLC

  • Rehabilitation Chiropractor
  • East Hanover, NJ
National Provider Identifier
1184784449
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00181400 Issued in NJ
Legal business name
SANTANGELO CHIROPRACTIC AND REHABILITATION CENTER, LLC
Doing business as
Integrative Wellness Associates, LLC
Practice address
1 Heather Dr
East Hanover, NJ 07936-3203
Phone
(973) 428-8244
Fax
(973) 428-8123
NPI assigned
Dec 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Dr. Fredrick Richard Santangelo, DCNPI 1487681250
Title
Director/Managing Member
Phone
(973) 428-8244

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00181400 NJ
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 38MC00181400 NJ Primary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 38MC00181400 NJ
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1 Heather Dr
East Hanover, NJ 07936-3203

Mailing address

1 Heather Dr
East Hanover, NJ 07936-3203
Phone (973) 428-8244

Other names 1

  • Integrative Wellness Associates, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1184784449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEATHER DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363203",
            "telephone_number": "973-428-8244",
            "fax_number": "973-428-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEATHER DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363203",
            "telephone_number": "973-428-8244",
            "fax_number": "973-428-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTANGELO CHIROPRACTIC AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR/MANAGING MEMBER",
        "authorized_official_telephone_number": "973-428-8244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00181400",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00181400",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00181400",
            "primary": false
        },
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Wellness Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.