NPIMap

Organization Active NPI

New Leaf Health and Wellness, P.C.

  • Chiropractor
  • Eatontown, NJ
National Provider Identifier
1356779805
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEW LEAF HEALTH AND WELLNESS, P.C.
Practice address
3 Corbett Way Ste a
Eatontown, NJ 07724-2283
Phone
(848) 456-2096
NPI assigned
Oct 21, 2013
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Robert Wallace, D.C.
Title
Ceo
Phone
(848) 456-2096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3 Corbett Way Ste a
Eatontown, NJ 07724-2283

Mailing address

3 Corbett Way
Suite a
Eatontown, NJ 07724-2283

National Provider Directory

National Provider Directory
Tax ID family
New Leaf Health and Wellness PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3 Corbett Way
Ste A
Eatontown, NJ 07724
Phone (848) 456-2096

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1356779805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORBETT WAY",
            "address_2": "SUITE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORBETT WAY STE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242283",
            "telephone_number": "848-456-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF HEALTH AND WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "848-456-2096",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.