Peak Chiropractic & Wellness LLC

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

38MC00697700 Issued in NJ

Legal business name

PEAK CHIROPRACTIC & WELLNESS LLC

Practice address

411 419 Chestnut St
1A
Newark, NJ 07105

Phone

(862) 237-7801

Fax

(862) 237-7803

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Larry Ordonez, DCNPI 1104184456

Title

Dr

Phone

(862) 576-1263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Peak Chir WLNS 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.

• Peak Chiropractic & Wellness LLC

  • Independent Medical Examiner Chiropractor
  • Newark, NJ
  • NPI 1235671363
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Peak Chiropractic & Wellness LLC

  • Independent Medical Examiner Chiropractor
  • Newark, NJ
  • NPI 1235671363
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Ordonez, D.C.

  • Independent Medical Examiner Chiropractor
  • West New York, NJ
  • NPI 1104184456
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1598162968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 419 CHESTNUT ST",
            "address_2": "1A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "862-237-7801",
            "fax_number": "862-237-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 419 CHESTNUT ST",
            "address_2": "1A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "862-237-7801",
            "fax_number": "862-237-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "ORDONEZ",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "862-576-1263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "NJ",
            "license": "38MC00697700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabhata D. Paulet, MD
• Robyn Hope Pavlick, LPC
• Peace It Together Counseling and Consulting
• Peace It Together Counseling and Consulting
• Peak Chiropractic & Wellness LLC
• Peak Performance Physical Therapy
• Josie Pearlman
• Sudeep Peddireddy, MD
• Pediaric Center 2000 Inc
• Pediatric Hospital Associates, P.a.

• Internist Chiropractor in Newark, NJ
• Providers in Newark, NJ by specialty
• Internist Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.