NPIMap

Organization Active NPI

Flexwellness of Teterboro

  • Chiropractor
  • Teterboro, NJ
National Provider Identifier
1407010291
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00574800 Issued in NJ
Legal business name
FLEXWELLNESS OF TETERBORO
Practice address
100 Hollister Rd
Teterboro, NJ 07608-1148
Phone
(201) 288-5400
Fax
(201) 288-5402
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Frank NicosiaNPI 1972654739
Title
President
Phone
(973) 844-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00574800 NJ Primary

Addresses

Primary practice location

100 Hollister Rd
Teterboro, NJ 07608-1148

Mailing address

PO Box 624
Totowa, NJ 07511-0624
Phone (973) 844-1155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1407010291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075110624",
            "telephone_number": "973-844-1155",
            "fax_number": "973-844-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOLLISTER RD",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081148",
            "telephone_number": "201-288-5400",
            "fax_number": "201-288-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXWELLNESS OF TETERBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "NICOSIA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-844-1155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00574800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teterboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.