Organization Active NPI

Wellness Diagnostic, LLC

  • Chiropractor
  • North Arlington, NJ
National Provider Identifier
1457784688
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00241200 Issued in NJ
Legal business name
WELLNESS DIAGNOSTIC, LLC
Practice address
44 Ridge Rd
North Arlington, NJ 07031-6350
Phone
(201) 998-6300
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Dr. Edward P Chesney Jr., D.C.
Title
Managing Member
Phone
(201) 998-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00241200 NJ Primary

Addresses

Primary practice location

44 Ridge Rd
North Arlington, NJ 07031-6350

Mailing address

370 W Pleasantview Ave
#116
Hackensack, NJ 07601-8004
Phone (201) 998-6300

National Provider Directory

National Provider Directory

Locations

370 W Pleasantview Ave
#116
Hackensack, NJ 07601

44 Ridge Rd
North Arlington, NJ 07031
Phone (201) 991-2880

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1457784688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W PLEASANTVIEW AVE",
            "address_2": "#116",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018004",
            "telephone_number": "201-998-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 RIDGE RD",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316350",
            "telephone_number": "201-998-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DIAGNOSTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "CHESNEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-998-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00241200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.