Organization Active NPI

Thomas Walaszczyk DC LLC

  • Chiropractor
  • Newton, NJ
National Provider Identifier
1265725360
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00689500 Issued in NJ
Legal business name
THOMAS WALASZCZYK DC LLC
Practice address
40 Moran St
Newton, NJ 07860-1813
Phone
(973) 579-1660
Fax
(973) 579-9185
NPI assigned
May 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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

Authorized official

Name
Dr. Thomas Walaszczyk, DCNPI 1609077411
Title
Owner
Phone
(570) 854-7855

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00689500 NJ Primary

Addresses

Primary practice location

40 Moran St
Newton, NJ 07860-1813

Mailing address

40 Moran St
Newton, NJ 07860-1813
Phone (973) 579-1660

Other names 1

  • Sussex County Total Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111103000129 NJ Part B Supplier - Clinic/Group Practice 5496928640 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, NJ

National Provider Directory

National Provider Directory

Locations

40 Moran St
Newton, NJ 07860
Phone (973) 579-1660

Practitioners & affiliated clinicians

Practitioners 2

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": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547337600000",
    "number": "1265725360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MORAN ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601813",
            "telephone_number": "973-579-1660",
            "fax_number": "973-579-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MORAN ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601813",
            "telephone_number": "973-579-1660",
            "fax_number": "973-579-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS WALASZCZYK DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2019-01-13",
        "status": "A",
        "authorized_official_last_name": "WALASZCZYK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-854-7855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00689500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sussex County Total Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sussex County Total Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; 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.