Organization Active NPI

Heightened Chiropractic & Performance Corp

  • Chiropractor
  • Bayonne, NJ
National Provider Identifier
1245889039
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEIGHTENED CHIROPRACTIC & PERFORMANCE CORP
Practice address
909 Broadway
Bayonne, NJ 07002-3051
Phone
(201) 443-8245
Fax
(201) 443-2669
NPI assigned
Sep 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Dr. Michael Anthony Gonzales, DC
Title
Doctor of Chiropractor
Phone
(201) 443-8245

Specialties & licenses 1

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

Addresses

Primary practice location

909 Broadway
Bayonne, NJ 07002-3051

Mailing address

909 Broadway
Bayonne, NJ 07002-3051
Phone (201) 443-8245

National Provider Directory

National Provider Directory

Locations

909 Broadway
Bayonne, NJ 07002
Phone (201) 436-0018

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1245889039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023051",
            "telephone_number": "201-443-8245",
            "fax_number": "201-443-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023051",
            "telephone_number": "201-443-8245",
            "fax_number": "201-443-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTENED CHIROPRACTIC & PERFORMANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTOR",
        "authorized_official_telephone_number": "201-443-8245",
        "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 Jan 8, 2024; 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.