Individual provider Active NPI

Alyssa Ella George, D.C.

  • Chiropractor
  • Rockaway, NJ
National Provider Identifier
1619376167
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00722400 Issued in NJ
Practice address
295 US Highway 46
Rockaway, NJ 07866-3823
Phone
(973) 957-0200
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00722400 NJ Primary

Addresses

Primary practice location

295 US Highway 46
Rockaway, NJ 07866-3823

Mailing address

295 US Highway 46
Rockaway, NJ 07866-3823
Phone (973) 957-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38MC00722400NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health and Wellness Center of NJ, LLC Chiropractor Current Accepting new patients
Elite Health & Wellness Center of NJ, LLC Chiropractor Current Accepting new patients
Maximum Health & Wellness Rockaway Chiropractor Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1619376167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 US HIGHWAY 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663823",
            "telephone_number": "973-957-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 US HIGHWAY 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663823",
            "telephone_number": "973-957-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ALYSSA",
        "middle_name": "ELLA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00722400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.