Kwaks Wellness System Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

KWAKS WELLNESS SYSTEM INC

Doing business as

Kwaks Kinesi-Therapy System

Practice address

172 Washington Valley Rd
Warren, NJ 07059-7133

Phone

(732) 356-2828

Fax

(732) 356-2466

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Kwak

Title

President

Phone

(732) 356-2828

Specialties & licenses 1

Addresses

Other names 1

• Kwaks Kinesi-Therapy System Doing business as

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568671840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 WASHINGTON VALLEY RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070597133",
            "telephone_number": "732-356-2828",
            "fax_number": "732-356-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 WASHINGTON VALLEY RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070597133",
            "telephone_number": "732-356-2828",
            "fax_number": "732-356-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWAKS WELLNESS SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-356-2828",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kwaks Kinesi-Therapy System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark J Krawitz, M.D.
• Tracy Rochelle Krieger, DMD
• Rakhee J Krishna
• David Prem Kumar
• Andrea Kurzner, LCSW, ACSW, BCD
• Neha Lall
• Ling Lan
• Elizabeth L Lane, MD
• John F Lane, M.D,
• Shari Anne Lapa

• Health Maintenance Organization in Warren, NJ
• Providers in Warren, NJ by specialty
• Health Maintenance Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.