Organization Active NPI

Alternacare Wellness Center, LLC

  • Chiropractor
  • Millburn, NJ
National Provider Identifier
1578614855
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00567300 Issued in NJ
Legal business name
ALTERNACARE WELLNESS CENTER, LLC
Practice address
96 Millburn Ave
Suite #101
Millburn, NJ 07041-1944
Phone
(973) 378-2003
Fax
(973) 378-2037
NPI assigned
Jan 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Houshmand, D.C., D.I.B.E.NPI 1265439277
Title
Owner
Phone
(973) 378-2003

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
Chiropractor 111N00000X 38MC00567300 NJ Primary

Addresses

Primary practice location

96 Millburn Ave
Suite #101
Millburn, NJ 07041-1944

Mailing address

96 Millburn Ave
Suite #101
Millburn, NJ 07041-1944
Phone (973) 378-2003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120620000512 NJ Part B Supplier - Clinic/Group Practice 3779747878 Receives reassigned benefits from 1 practitioner
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

745 Northfield Ave
Ste 1
West Orange, NJ 07052
Phone (973) 378-2003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578614855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MILLBURN AVE",
            "address_2": "SUITE #101",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411944",
            "telephone_number": "973-378-2003",
            "fax_number": "973-378-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MILLBURN AVE",
            "address_2": "SUITE #101",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411944",
            "telephone_number": "973-378-2003",
            "fax_number": "973-378-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNACARE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUSHMAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-378-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.I.B.E."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00567300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • 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.
  • 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.