NPIMap

Organization Active NPI

Peak Chiropractic & Wellness LLC

  • Independent Medical Examiner Chiropractor
  • Newark, NJ
National Provider Identifier
1235671363
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
MC00697700 Issued in NJ
Legal business name
PEAK CHIROPRACTIC & WELLNESS LLC
Practice address
411 Chestnut St
Suite 1a
Newark, NJ 07105-2499
Phone
(862) 237-7801
Fax
(862) 237-7803
NPI assigned
Nov 7, 2016
Organization subpart
Yes
Parent organization
PEAK CHIROPRACTIC & WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Dr. Larry Ordonez, D.C.NPI 1104184456
Title
Chiropractor
Phone
(862) 237-7801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X MC00697700 NJ Primary

Addresses

Primary practice location

411 Chestnut St
Suite 1a
Newark, NJ 07105-2499

Mailing address

411 Chestnut St
Suite 1a
Newark, NJ 07105-2499
Phone (862) 237-7801

National Provider Directory

National Provider Directory
Tax ID family
Peak Chir WLNS LLC2 organizations share this tax ID, including this one
Part of
Peak Chir WLNS LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

411 Chestnut St
Ste 1A
Newark, NJ 07105
Phone (862) 237-7801

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1235671363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CHESTNUT ST",
            "address_2": "SUITE 1A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052499",
            "telephone_number": "862-237-7801",
            "fax_number": "862-237-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CHESTNUT ST",
            "address_2": "SUITE 1A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052499",
            "telephone_number": "862-237-7801",
            "fax_number": "862-237-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK CHIROPRACTIC & WELLNESS LLC",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "ORDONEZ",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "862-237-7801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NJ",
            "license": "MC00697700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.