South Jersey Health & Wellness Center

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC-007149-L Issued in PA

Legal business name

SOUTH JERSEY HEALTH & WELLNESS CENTER

Practice address

1919 Greentree Rd
Suite a
Cherry Hill, NJ 08003-1115

Phone

(856) 761-8100

Fax

(856) 761-8107

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Edenzon, D.C.

Title

Chiropractor

Phone

(856) 761-8100

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1649485343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 GREENTREE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031115",
            "telephone_number": "856-761-8100",
            "fax_number": "856-761-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 GREENTREE RD",
            "address_2": "SUITE A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031115",
            "telephone_number": "856-761-8100",
            "fax_number": "856-761-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "EDENZON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "856-761-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "DC-007149-L",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC00534300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jersey Ear Nose & Throat Associates P a
• South Jersey Endodontics, PA
• South Jersey Family Dental LLC
• South Jersey Geriatric Care, PC
• South Jersey Health & Wellness
• South Jersey Heart Group, PC
• South Jersey Imaging Associates Inc (Upright Imaging of Cherry Hill)
• South Jersey Plastic Surgery
• South Jersey Prosthodontic Assoc. PA
• South Jersey Vascular Intitute LLC

• Nutrition Chiropractor in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Nutrition Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.