Absolute Chiropractic & Massage, LLC

Organization Active NPI Chiropractor · Woodbridge, NJ

NPI 1285040964 · NPPES record last updated Sep 24, 2015

Key facts

NPI
1285040964
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
38MC00608100 (NJ)
Legal business name
ABSOLUTE CHIROPRACTIC & MASSAGE, LLC
Practice address
245 Main St
Woodbridge, NJ 07095-1958
Phone
(732) 874-5109
Fax
(732) 874-5134
NPI assigned
Jul 2, 2014
Organization subpart
No

Authorized official

Name
Dr. Joseph Mazzeo III, D.C.
Title
Owner
Phone
(732) 874-5109

Corporate family (same tax ID) 1

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

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150930002765 NJ Part B Supplier - Clinic/Group Practice 2062720634 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, NJ

National Provider Directory

Tax ID family
Absolute Chiropractic (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193200000X MULTI-SPECIALTY GROUP
111N00000X 38MC00608100 NJ Yes
Acupuncturist
Group: 193200000X MULTI-SPECIALTY GROUP
171100000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X

Addresses

Primary practice location

245 Main St
Woodbridge, NJ 07095-1958

Mailing address

245 Main St
Woodbridge, NJ 07095-1958
Phone (732) 874-5109

Other names

  • Absolute Chiropractic Doing business as

Other providers in Woodbridge, NJ

All providers in Woodbridge, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.