Organization Active NPI

Roses Life Chiropractic P C

  • Chiropractor
  • West Caldwell, NJ
National Provider Identifier
1508942434
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04830 Issued in NJ
Legal business name
ROSES LIFE CHIROPRACTIC P C
Practice address
555 Passaic Avenue
Suite 204
West Caldwell, NJ 07006
Phone
(973) 575-6651
Fax
(973) 575-6260
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. Toniann Roses, DCNPI 1538378286
Title
Chiropractor President
Phone
(973) 575-6651

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 MC04830 NJ Primary

Addresses

Primary practice location

555 Passaic Avenue
Suite 204
West Caldwell, NJ 07006

Mailing address

555 Passaic Avenue
Suite 204
West Caldwell, NJ 07006
Phone (973) 575-6651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019000557 NJ Part B Supplier - Clinic/Group Practice 8325009814 Receives reassigned benefits from 1 practitioner
Practice locations: Montville, NJ; West Caldwell, NJ

National Provider Directory

National Provider Directory

Locations

555 Passaic Ave
Ste 204
West Caldwell, NJ 07006
Phone (973) 575-6651

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1508942434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PASSAIC AVENUE",
            "address_2": "SUITE 204",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-575-6651",
            "fax_number": "973-575-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PASSAIC AVENUE",
            "address_2": "SUITE 204",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-575-6651",
            "fax_number": "973-575-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSES LIFE CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSES",
        "authorized_official_first_name": "TONIANN",
        "authorized_official_title_or_position": "CHIROPRACTOR PRESIDENT",
        "authorized_official_telephone_number": "973-575-6651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.