Organization Active NPI

Quantum Wellness and Rehabilitation PC

  • Chiropractor
  • Elizabeth, NJ
National Provider Identifier
1386905826
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00504900 Issued in NJ
Legal business name
QUANTUM WELLNESS AND REHABILITATION PC
Practice address
230 W Jersey St
Ste. 303
Elizabeth, NJ 07202-1364
Phone
(908) 289-8556
NPI assigned
May 31, 2012
Last updated
May 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Mr. Dan Duncan, MEDICAL BILLER
Title
Director
Phone
(601) 878-6945

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00504900 NJ Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 25MZ00020100 NJ
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X MC04730 NJ

Addresses

Primary practice location

230 W Jersey St
Ste. 303
Elizabeth, NJ 07202-1364

Mailing address

230 W Jersey St
Ste. 303
Elizabeth, NJ 07202-1364
Phone (908) 289-8556

National Provider Directory

National Provider Directory

Locations

1581 Route 27
Unit 4
Edison, NJ 08817
Phone (732) 372-0222

230 W Jersey St
Ste 303
Elizabeth, NJ 07202
Phone (732) 762-2272

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1386905826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W JERSEY ST",
            "address_2": "STE. 303",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021364",
            "telephone_number": "908-289-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W JERSEY ST",
            "address_2": "STE. 303",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021364",
            "telephone_number": "908-289-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM WELLNESS AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-878-6945",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MEDICAL BILLER"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00504900",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "25MZ00020100",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "MC04730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.