Organization Active NPI

Jersey Chiropractic and Wellness Center

  • Chiropractor
  • Denville, NJ
National Provider Identifier
1306160122
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00260800 Issued in NJ
Legal business name
JERSEY CHIROPRACTIC AND WELLNESS CENTER
Practice address
35 W Main St
Suite 202
Denville, NJ 07834-2174
Phone
(973) 625-7800
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Jersey Wulster, DC
Title
Owner
Phone
(973) 625-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00260800 NJ Primary

Addresses

Primary practice location

35 W Main St
Suite 202
Denville, NJ 07834-2174

Mailing address

35 W Main St
Suite 202
Denville, NJ 07834-2174
Phone (973) 625-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1306160122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "address_2": "SUITE 202",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342174",
            "telephone_number": "973-625-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "address_2": "SUITE 202",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342174",
            "telephone_number": "973-625-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "WULSTER",
        "authorized_official_first_name": "JERSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-625-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00260800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.