Organization Active NPI

Maximum Health & Wellness Woodbridge, LLC

  • Chiropractor
  • Iselin, NJ
National Provider Identifier
1285058990
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAXIMUM HEALTH & WELLNESS WOODBRIDGE, LLC
Practice address
675 US Highway 1 S
Iselin, NJ 08830-3152
Phone
(352) 678-3092
Fax
(352) 515-0042
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jennifer Carroll
Title
Office Rep
Phone
(352) 678-3092

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X NJ
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

675 US Highway 1 S
Iselin, NJ 08830-3152

Mailing address

PO Box 459
Raritan, NJ 08869-0459
Phone (732) 582-6910

National Provider Directory

National Provider Directory

Locations

675 US Highway 1 S
Iselin, NJ 08830
Phone (732) 326-2348

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285058990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088690459",
            "telephone_number": "732-582-6910",
            "fax_number": "352-515-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 US HIGHWAY 1 S",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303152",
            "telephone_number": "352-678-3092",
            "fax_number": "352-515-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM HEALTH & WELLNESS WOODBRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE REP",
        "authorized_official_telephone_number": "352-678-3092"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "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
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.