Monroe Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MONROE WELLNESS CENTER, LLC

Practice address

7 Centre Dr
Suite 10
Monroe, NJ 08831-1565

Phone

(609) 662-4714

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert Wallace, DCNPI 1023132644

Title

Owner

Phone

(631) 338-7860

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Robert S Wallace, D.C.

  • Chiropractor
  • Monroe, NJ
  • NPI 1023132644
  Medicare reassignment Care Compare group NPD Authorized official
• Serena Marie Fernandez-Wallace, D.C.

  • Chiropractor
  • Huntington, NY
  • NPI 1578687208

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1245646371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CENTRE DR",
            "address_2": "SUITE 10",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088311565",
            "telephone_number": "631-338-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CENTRE DR",
            "address_2": "SUITE 10",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088311565",
            "telephone_number": "609-662-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-338-7860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Mikhail, DDS
• Millennium Eye Care, LLC
• Ismet A Mirza, M.D.
• Anna G Mohlenhoff
• Monroe Physical Medicine LLC
• Rosemarie Mullings, APN
• Anthony Nicholas Muscio, DPT
• N.J. Oral & Facial Surgery of Monroe, LLC
• Swati Girish Nadkarni, MD
• Poonam Narula, D.D.S.

• Chiropractor in Monroe, NJ
• Providers in Monroe, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.