Organization Active NPI

Elite Wellness & Sports Medicine Center

  • Chiropractor
  • Hackensack, NJ
National Provider Identifier
1245689207
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00720000 Issued in NJ
Legal business name
ELITE WELLNESS & SPORTS MEDICINE CENTER
Practice address
90 Main St Ste 308
Hackensack, NJ 07601-7128
Phone
(201) 646-2500
Fax
(201) 646-2006
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Matthew Leffel, DCNPI 1215334461
Title
Owner
Phone
(201) 646-2500

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00720000 NJ Primary

Addresses

Primary practice location

90 Main St Ste 308
Hackensack, NJ 07601-7128

Mailing address

90 Main St Ste 308
Hackensack, NJ 07601-7128
Phone (201) 646-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160802000105 NJ Part B Supplier - Clinic/Group Practice 7911290796 Receives reassigned benefits from 5 practitioners
Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1245689207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIN ST STE 308",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017128",
            "telephone_number": "201-646-2500",
            "fax_number": "201-646-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST STE 308",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017128",
            "telephone_number": "201-646-2500",
            "fax_number": "201-646-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WELLNESS & SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "LEFFEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-646-2500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00720000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.