Wellcare Pain and Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLCARE PAIN AND REHAB, LLC

Practice address

18 Kearny Ave
Kearny, NJ 07032-2372

Phone

(201) 991-7246

Fax

(201) 991-7244

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sako Tarakhchyan, DC

Title

Owner

Phone

(201) 991-7246

Specialties & licenses 1

Addresses

Tax ID family

Wellcare Pain and Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellcare Pain and Rehab, LLC

  • Chiropractor
  • Edison, NJ
  • NPI 1831604776
  NPD tax ID

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1578078218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322372",
            "telephone_number": "201-991-7246",
            "fax_number": "201-991-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322372",
            "telephone_number": "201-991-7246",
            "fax_number": "201-991-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PAIN AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "TARAKHCHYAN",
        "authorized_official_first_name": "SAKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-991-7246",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.