Organization Active NPI

Wood Family Chiropractic, LLC

  • Chiropractor
  • Wayne, NJ
National Provider Identifier
1295904258
Registry record updated Dec 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38NC00632100 Issued in NJ
Legal business name
WOOD FAMILY CHIROPRACTIC, LLC
Practice address
483 Black Oak Ridge Rd
Wayne, NJ 07470-6508
Phone
(973) 633-1293
Fax
(862) 221-9539
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2011

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

Authorized official

Name
Dr. Robert R Wood, DCNPI 1336143114
Title
Ceo
Phone
(973) 633-1293

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 38NC00632100 NJ Primary

Addresses

Primary practice location

483 Black Oak Ridge Rd
Wayne, NJ 07470-6508

Mailing address

483 Black Oak Ridge Rd
Wayne, NJ 07470-6508
Phone (973) 633-1293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000446 NJ Part B Supplier - Clinic/Group Practice 8820167620 Receives reassigned benefits from 1 practitioner
Practice locations: Totowa, NJ; Wayne, NJ

National Provider Directory

National Provider Directory

Locations

342 Union Blvd
Totowa, NJ 07512
Phone (973) 790-3181

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324857600000",
    "number": "1295904258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 BLACK OAK RIDGE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706508",
            "telephone_number": "973-633-1293",
            "fax_number": "862-221-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 BLACK OAK RIDGE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706508",
            "telephone_number": "973-633-1293",
            "fax_number": "862-221-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2011-12-26",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-633-1293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38NC00632100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; 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.