Active NPI
Wood Family Chiropractic, LLC
- Chiropractor
- Wayne, NJ
National Provider Identifier
1295904258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38NC00632100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert R Wood, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Wayne, NJ
- NPI 1336143114
-
- Chiropractor
- Totowa, NJ
- NPI 1871665760
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.