Lifeforce Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00364300 Issued in NJ

Legal business name

LIFEFORCE CHIROPRACTIC, LLC

Practice address

516 Hamburg Tpke
Suite # 5
Wayne, NJ 07470-2062

Phone

(973) 790-3000

Fax

(973) 790-3001

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Liuan M. Gof, DC

Title

Director

Phone

(973) 790-3000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1356709141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE",
            "address_2": "SUITE # 5",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702062",
            "telephone_number": "973-790-3000",
            "fax_number": "973-790-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE",
            "address_2": "SUITE # 5",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702062",
            "telephone_number": "973-790-3000",
            "fax_number": "973-790-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFORCE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "GOF",
        "authorized_official_first_name": "LIUAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-790-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00364300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.