Individual provider Active NPI

Luanne R Centrella, DC,L.AC

  • Chiropractor
  • Livingston, NJ
National Provider Identifier
1386713733
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00650700 Issued in NJ
Practice address
22 Old Short Hills Road
Suite 109
Livingston, NJ 07039
Phone
(973) 641-2343
Fax
(973) 994-1995
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00650700 NJ Primary
Acupuncturist 171100000X 25MZ00074600 NJ

Addresses

Primary practice location

22 Old Short Hills Road
Suite 109
Livingston, NJ 07039

Mailing address

22 Old Short Hills Road
Suite 109
Livingston, NJ 07039
Phone (973) 641-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38MC00650700NJMDChiropractor
25MZ00074600NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Shulman Wellness Center LLC Chiropractor PastSince Jan 4, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1386713733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 109",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-641-2343",
            "fax_number": "973-994-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 109",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-641-2343",
            "fax_number": "973-994-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTRELLA",
        "first_name": "LUANNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC,L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00650700",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00074600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.