Body Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00715400 Issued in NJ

Legal business name

BODY WELLNESS CENTER LLC

Practice address

716 Broad St
Clifton, NJ 07013-1645

Phone

(201) 214-4759

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Fadi SarkisNPI 1578989554

Title

Owner

Phone

(201) 214-4759

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

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

• Fadi Sarkis

  • Chiropractor
  • Clifton, NJ
  • NPI 1578989554
  Medicare reassignment Care Compare group NPD Authorized official
• Akwete Sackey, D.C

  • Chiropractor
  • Montclair, NJ
  • NPI 1386193514
  Medicare reassignment Care Compare group NPD
• Khaled Nabil Nasr, DPT.MS.PT

  • Orthopedic Physical Therapist
  • New York, NY
  • NPI 1457547374

  NJ

  Medicare reassignment Care Compare group NPD
• Beremis Cristian Perez, PT, DPT

  • Physical Therapist
  • Verona, NJ
  • NPI 1700333424
  NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1417366121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FOREST AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131645",
            "telephone_number": "201-214-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "SARKIS",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-214-4759"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00715400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Bobe
• Alexis C. Bobila, M.D.
• Charo Balagtas Bodiongan
• Lesly Yaneth Bodnar, PH.D
• Body and Mind Physical Therapy PC
• Jodi Bogle
• Sarah Amelia Bornstein, APN
• Oksana Boroday
• John Bortolussi, D.C.
• Deborah Jean Bostock, MD

• Chiropractor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.