Rad Health & Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RAD HEALTH & WELLNESS

Practice address

133 Eayrestown Rd
Southampton, NJ 08088-9122

Phone

(609) 233-9305

NPI assigned

Jul 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Allen Donato Jr., DCNPI 1740618149

Title

Owner

Phone

(609) 233-9305

Specialties & licenses 1

Addresses

Other names 1

• Pivotal Training Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Ronald Allen Donato Jr., D.C.

  • Chiropractor
  • Cinnaminson, NJ
  • NPI 1740618149

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625961600000",
    "number": "1336711324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 EAYRESTOWN RD",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080889122",
            "telephone_number": "609-233-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 EAYRESTOWN RD",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080889122",
            "telephone_number": "609-233-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAD HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-233-9305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivotal Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kacie Polidoro, RN
• Denise Marie Proctor, FNP
• Tamika Nakia-Starr Ray
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• Victoria A. Rice, PT, DPT
• Jeffery Ryan Sallade, MSPT,OCS, SCS
• Mara Schiffhauer, OTR/L

• All providers in Southampton, NJ
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.