Organization Active NPI

Innate Restorative Health and Wellness

  • Chiropractor
  • Bayonne, NJ
National Provider Identifier
1407589682
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INNATE RESTORATIVE HEALTH AND WELLNESS
Practice address
421 Broadway
Bayonne, NJ 07002-3627
Phone
(609) 486-2150
Fax
(609) 486-2149
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Alyssa J Rivers, DCNPI 1225543218
Title
Owner/Chiropractor
Phone
(732) 887-3881

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

421 Broadway
Bayonne, NJ 07002-3627

Mailing address

1 Chingarora Ave
Keyport, NJ 07735-1007
Phone (732) 887-3881

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": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1407589682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHINGARORA AVE",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077351007",
            "telephone_number": "732-887-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023627",
            "telephone_number": "609-486-2150",
            "fax_number": "609-486-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE RESTORATIVE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "732-887-3881",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.